Another Chance Pet Rescue - Cat Application

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Note: You may download the MS Word document (right-click, save as), fill it out and email it to us, or bring it to an Adoption Event at Petco in Irondequoit (Wednesdays 6pm-8pm and Saturdays 11am-3pm):

Cat Application Please answer every question (enter n/a if question does not apply to you)		10 Reasons Why Two Kittens are Better Than One
Are you applying to:	Adopt Foster
Cat's Name (or type of cat):
Your Name:
Street Address:
City:
State:
ZIP:
Home Phone:
Work Phone:
Occupation:
Employer:
Email Address:
Driver's License Number:
Number of adults in household:
Number of children in household:
Children's Ages:
Everyone agrees to this adoption?:	Yes No
Who will be responsible for the pet?:
Anyone in household allergic to pets?:	Yes No
Max # hours pet will be left alone daily:
Are you moving in the next 12 months?:	Yes No
Do you own or rent your home?:	Own Rent
If renting, name and number of landlord:
Your current cat(s) age(s) and gender(s):
Are your current cats declawed?:	Yes No
Will your new cat be declawed?:	Yes No
Do your current cats go outside?:	Yes No
If yes, how often:?
Will your new cat go outside?:	Yes No
Are all current cats spayed/neutered?:	Yes No
Are all your cats’ shots up to date?:	Yes No
If not, why?:
Your current dog breed(s) and age(s):
Are all current dogs spayed/neutered?:	Yes No
Are all your dogs’ shots up to date?:	Yes No
If not, why?:
Have you had other pets in last 5 years?:	Yes No
For how long/what happened to them?:
Your veterinarian(s) name and phone #:
Have you tried to adopt in last 12 mo?:	Yes No
Will you agree to a home visit by ACPR?:	Yes No
By submitting this application, I hereby certify that all answers I gave are true to the best of my knowledge. I understand that ACPR may accept or deny any request.

anotherchancepetrescue@netzero.net

Site by Mark Osterling