LONG BEACH FELINES ADOPTION APPLICATION

This is not a test. Completion of this document DOES NOT imply a guarantee of approval for adoption of any Long Beach Felines animals. This document is the property of Long Beach Felines. Please complete each question completely. Your questionnaire will be thoroughly reviewed after submission. We reserve the right to decline an application without explanation. Any discussions you've had with staff at the Feline Good Social Club Lounge are not binding on Long Beach Felines. This approval process may take a few days. We look forward to getting to know you.

BY CHECKING THIS BOX: *

I acknowledge that I have read the above paragraph and understand the terms listed.

PLEASE REMEMBER - FILLING OUT THIS QUESTIONNAIRE IS NOT A GUARANTEE OF ADOPTION

* INDICATES A REQUIRED ENTRY - IF NECESSARY, USE "NONE" or "NO" or "N/A"

ARE YOU APPLYING FOR A SPECIFIC CAT? *

IF YES, NAME OF CAT

NAME *

CO-APPLICANT NAME

OCCUPATION *

CO-APPLICANT OCCUPATION

AT LEAST ONE PHONE NUMBER IS REQUIRED

HOME PHONE 🛈

CELL PHONE 🛈

WORK PHONE 🛈

BEST TO CALL *

STREET ADDRESS *

CITY *

STATE *

ZIP CODE *

HOW LONG HAVE YOU LIVED AT THIS ADDRESS *

DESCRIBE YOUR HOME *

DO YOU *

OWN

RENT

FOR MULTI-UNIT LOCATIONS, WHAT ARE THE RULES ABOUT KEEPING PETS?

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LANDLORD'S NAME

LANDLORD'S PHONE NUMBER

DO YOU HAVE YOUR LANDLORD'S PERMISSION TO HAVE A PET

YES

NO

APPLICANT'S EMAIL ADDRESS *

CO-APPLICANT EMAIL ADDRESS

PLEASE LIST ALL PEOPLE WHO LIVE IN YOUR HOUSEHOLD AND THEIR RELATIONSHIP TO YOU

ADULTS LIVING WITH YOU:

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CHILDREN LIVING WITH YOU AND THEIR AGES:

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WHY ARE YOU LOOKING FOR A CAT *

IS THIS YOUR FIRST PET? *

YES

NO

DO YOU OBJECT TO A HOME VISIT *

NO

YES

WHO WILL BE RESPONSIBLE FOR THE CAT'S CARE — FEEDING, LITTER BOX, VET VISITS *

ABOUT HOW MANY HOURS OF THE DAY WILL YOUR PET BE LEFT ALONE *

WHERE WILL HE BE LEFT WHEN ALONE — BE SPECIFIC *

WILL THIS PET BE ALLOWED ON THE FURNITURE? *

YES

NO

MAYBE - EXPLAIN MAYBE - EXPLAIN

DO YOU HAVE A PET DOOR? *

YES

NO

WILL YOUR CAT HAVE ACCESS TO THE PET DOOR? *

YES

NO

WHERE WILL YOU KEEP THE LITTER BOX? *

WHAT AREAS OF HOUSE WILL BE OFF LIMITS TO THE CAT? *

DO YOU WANT TO DECLAW THIS CAT? *

NO

YES

WHY? WHY?

WHAT WILL YOU DO IF YOUR CAT CLAWS THE DRAPES, FURNITURE OR CARPET? *

TEACH IT TO USE A SCRATCHING POST

USE SOFT PAWS

DECLAW

OTHER OTHER

WHERE WILL YOUR CAT SLEEP AT NIGHT? *

LIST ALL CATS YOU HAVE NOW AND IN THE PAST 10 YEARS. IF NO CAT, ENTER "NONE" IN THE CAT NAME.

CAT 1 NAME *

AGE

GENDER

SPAYED/NEUTERED

DECLAWED

TEST FOR FeLV & FIV

TEST RESULTS

IF DECLAWED, WHERE

IS HE ALLOWED OUTDOORS?

STILL OWN?

IF NO, WHY? IF CAT IS DECEASED, FROM WHAT?

CAT 2 NAME

AGE

GENDER

SPAYED/NEUTERED

DECLAWED

TEST FOR FeLV & FIV

TEST RESULTS

IF DECLAWED, WHERE

IS HE ALLOWED OUTDOORS?

STILL OWN?

IF NO, WHY? IF CAT IS DECEASED, FROM WHAT?

ADDITIONAL CATS - NOTE HERE

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LIST ALL DOGS YOU HAVE NOW. IF NO DOGS, ENTER "NONE" IN THE DOG NAME.

DOG NAME *

AGE

GENDER

SPAYED/NEUTERED

EXPERIENCED WITH CATS? *

DESCRIBE YOUR DOG'S EXPERIENCE WITH CATS *

STILL OWN?

IF NO, WHY?

ADDITIONAL DOGS - NOTE HERE

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DO YOU HAVE A VETERINARIAN? *

NO

YES

NAME & ADDRESS NAME & ADDRESS

YOUR NEW CAT WILL BE: *

DESCRIBE WHY YOU CHOSE YOUR ANSWER *

HOW MUCH WOULD YOU CONSIDER SPENDING ON VETERINARY TREATMENT FOR YOUR SICK CAT? *

UNDER WHAT CIRCUMSTANCES WOULD YOU NOT BE ABLE TO KEEP THIS NEW PET — PLEASE CHECK ALL THAT APPLY *

IF YOU ARE UNABLE TO CARE FOR THE CAT, WHAT WILL HAPPEN TO THE CAT?
NAME/PHONE NUMBER/RELATIONSHIP * *

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WHAT WILL YOU DO WITH YOUR CAT:

WHEN YOU GO OUT OF TOWN *

IF YOU MOVE TO A NEW RESIDENCE THAT DOES NOT ALLOW PETS? *

IF A NEW BOYFRIEND/GIRLFRIEND IS ALLERGIC TO CATS? *

IF YOU GET MARRIED - if you're single now?

WHAT LENGTH OF TIME DO YOU FEEL IS REASONABLE FOR THIS CAT TO ADJUST TO YOUR HOME? *

I have read the above information carefully and have filled out this application honestly. I understand that Long Beach Felines reserves the right to decline my application for any reason. If an omission or untruth is discovered after the adoption is completed, I understand and accept that the foster has the right to annul the adoption and reclaim the cat. I release Long Beach Felines from any liability and/or responsibility from any damage a cat may cause me during the adoption process.

THIS APPLICATION BECOMES PART OF OUR CONTRACT

DATE - click on calendar * +

PLEASE USE YOUR MOUSE TO SIGN HERE *

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IMPORTANT:

THANK YOU FOR COMPLETING THIS APPLICATION. YOU'LL RECEIVE AN EMAIL FROM noreply@fs6.formsite.com WITH THIS SUBMISSION FOR YOUR RECORDS. SOMEONE SHOULD GET BACK TO YOU AS SOON AS POSSIBLE - WHICH SHOULD BE WITHIN A WEEK. IF YOU DON'T RECEIVE A RESPONSE FROM SOMEONE, PLEASE EMAIL: cap4lbf@gmail.com - BUT PLEASE BE SURE TO CHECK YOUR SPAM OR JUNK MAIL BOXES FIRST FOR MAIL FROM noreply@fs6.formsite.com.

Personal changes for you	Divorce/Separation
New spouse	Pregnancy
New baby	New roommate
New allergy	Job change/boss
Disability/Illness	New house/apt.
New carpet/drapes/furniture	Cat's behavior problems
Kids too rough with cat	Cat too rough with kids
Does not get along with other pet/s	Sprays/does not use litter box
Keeps you awake	Scratches carpets, drapes, furniture
"Talks" too much	Needs too much attention/timne
Taking too long to adjust to family — over 4 weeks	Cat's general health problems
Cat incurs expensive vet bills	Requires daily medical treatment
Needs special diet	Cat becomes disabled
None of the above - BE SURE YOU MEAN THIS	Other reasons — please specify Other reasons — please specify