03/16/2021
Adoption Application: Please download and email to [email protected]. Please list the cat you are interest in adopting. Please not once an application is submitted to us for screening, it will go to our rescue committee for final approval. At that time, you will be notified of the committee findings. Thank you
Abandoned Maine C***s Rescue
P. O. Box 253
Simms, Texas
903-543-1178
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Personal Contact Information
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Your Full Name:
Spouses/Partners Name:
Street Address:
City:
State:
Zip:
Daytime Phone #:
Evening Phone #:
Cell Phone #:
Best Time to Call:
E-Mail Address:
Occupation:
Employer:
Address:
Phone #:
How long have you worked there?
Are you a full time student?
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Personal Information
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Do you own or rent?
How long have you lived in your current home?
If less than two years, prior address:
If rent or house-sit, do you have landlord's permission to keep a cat?
Landlord’s Name, Address & Phone Number?
How many adults are in this home?
How many children are in this home?
Children's ages:
Does anyone in your home have allergies?
If yes, what are the allergies?
Do you live in an evacuation area?
What arrangements have you made for your pets if you are told to evacuate?
Have you ever turned any animal over to a Shelter: If yes, reason?
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Personal Reference (not living with you)
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Name:
Daytime Phone #:
Evening Phone #:
Best time to call:
Relationship:
If Other:
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Current/Previous Pets
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Do you own other cats/pets?
If yes, are they spayed or neutered?
Are they indoors only?
Do you have a dog door?
Are they up-to-date on rabies/distemper vaccines?
How do you feel about declawing?
How many other cats have you owned in the last five years?
If you no longer have the previous cats, what happened to them?
Do you have other pets?
Type of Pets? (Please include quantities dog breed):
Reason for wanting a cat?
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Veterinary Information
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Do you have a regular veterinarian?
If No you will need to establish one before adoption is completed
Veterinarian's name:
Clinic Name:
Clinic Phone #
If you do not have a regular veterinarian, please explain why:
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About the Cat You Wish to Adopt
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Name of cat(s) you are currently interested in:
Desired age:
Desired s*x:
Willing to adopt: Declawed Cat?
Shy Cat?
Special Needs Cat?
Where will the cat spend the day?
Where will the cat spend the night?
Why do you want to adopt a Maine C**n?
Number of hours (average) cat will spend alone?
Who will have primary responsibility for this cat's daily care?
How will you care for its coat?
Who will have financial responsibility for this cat?
Do you agree to provide regular health care by a Licensed Veterinarian?
Do you agree to physically return this cat(s) if you can no longer keep it?
If not, why?
How did you hear about us?
If this form is filled out on-line or as an E-mailed document, it will be considered void if there have been any changes to the language of this form. If received by E-mail, the applicant waives their actual signature and accepts all contract language in this application by placing their initials here: ______________