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Name
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First
Last
Email
*
Address
Phone Number
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Which animal(s) are you interested in?
Why do you want to adopt this animal?
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Do you rent or own your home?
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Rent
Own
If you rent, please provide a contact email or phone number for your landlord to confirm pet rules
If adopted, will this be an indoor cat only?
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Yes
No
How many members of your home are adults?
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How many members of your home are children?
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Who will be responsible for the care of the animal?
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How many hours a day will the animal be left alone during the day?
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Who will care for the animal when you’re on vacation or out of town?
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town? If 1
Are you sure you’re committed to the care and responsibility of this animal for the next 10 or more years.
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Yes
No
How much do you think it will cost to take care of the animal annually? (Including Vet Care, Toys, Food & Grooming)
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If you have any current pets, are all vaccinations up to date?
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Yes
No
N/A
List all Current pets and their age, breed & if they are spayed or neutered
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Why should SOLAS place a companion animal with you?
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HAVE YOU EVER BEEN CHARGED WITH OR CONVICTED OF ANIMAL NEGLECT OR ANIMAL ABUSE?
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Yes
No
Please provide 3 references. 1 should be a vet if you have owned a pet in the last 3 years. Landlord can be another.
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