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Meoowz & Merlot

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Adoption Application

Brewheim Adoption Event Saturday, September 29th, 2pm-6pm at Brewheim in Anaheim,CA

"*" indicates required fields

Full Name*

Email*

Phone*

Alt. Phone

Address*

Street Address Address Line 2 City State ZIP Code

Area you live?*

OC

IE

Other

Your Ideal Kitty

Skip to "About You" if any kitty is fine

Age

0–12 months

1 year+

Any age

Name

MRQ#

Breed

Color

About You

Have you ever owned a cat?*

Yes

No

If you move, will you take your pets*

Yes

No

If you rent, are you allowed animals?*

Yes

No

Not Applicable

Landlord's name

Landlord's phone #

Who will care for your pets when you are away?*

How much interaction will the family have with the cat(s)?*

Are there any children in the home?*

Yes

No

If yes, list ages (click all that apply)

Infant(s)

Toddler(s)

Youth(s)

Teen(s)

Do you have roommates?*

Yes

No

Is everyone in the home in favor of adopting a cat?*

Unknown

Yes

No

Is anyone in the household allergic to cats?*

Unknown

Yes

No

If yes or unknown, how will you accommodate the cat?*

What pets have you had in the last 5 years and what happened to them? (Please be specific)

Are all of your current pets spayed/neutered?*

Yes

No

Not Applicable

Are they all current on their shots?*

Yes

No

Not Applicable

Has a cat died on your premises of distemper or leukemia in the last 3 months?*

Yes

No

Will you take the cat to the vet for checkups and inoculations?*

Yes

No

Will you declaw the cat?*

Yes

No

Should you no longer be able to take care of your cats, who will step in to care for them?*

What boundaries will you allow the cat to have?*

Indoor/Outdoor

Indoor Only

How will you handle scratching or destructive behavior?*

If the cat/kitten becomes ill, are you prepared to pay for medical expenses?*

Yes

No

Why do you want a cat?*

How did you hear about us?

Website

Friends/Family

Craigslist

Facebook

Adopt-a-Pet

Petfinder

Petco/Pet Store

Other

Signature*

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