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A Lifesaving Story
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Cat Adopter Profile
* Required fields
*First name:
*Last name:
*E-mail:
*Address line 1:
Address line 2:
*City:
*State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Maryland
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip:
*Home phone:
Daytime phone:
Home ownership:
Homeowner
Renter
Residence type:
House
Apartment
Condo
Duplex
Mobile home
Parents
Landlord name:
Landlord phone:
Do all adults in your household know that you plan to adopt?
Yes
No
# of adults in home:
# and ages of children in home:
What types(s) of pet(s) have you owned during the past five years?
Type/Breed
Age
Name
Spayed/ Neutered?
Still Own?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If you have a veterinarian, please provide his/her name and the clinic name.
Please fill out this part of the form to help us help your find that perfect match.
I would consider my household to be like:
A library
Middle of the road
A carnival
I am comfortable with a cat that likes to play "chase my ankles" and similar games:
No
Somewhat
Yes
I want my cat to interact with a guests that come to my house:
Little of the time
Some of the time
All of the time
How do you feel about a boisterous cat that gets into everything?
Love them but rather not live with them
Depends on the situation
Yes
My cat needs to be able to adjust to new situations quickly:
Not important
Somewhat
Yes
I want my cat to love being with children in my home:
It's important whether my cat loves being with children
Some of the time
Most of the time
Children do not often come to my house
My cat needs to be able to be alone:
More than 9 hours per day
4 to 8 hours per day
Less than 4 hours per day
When I am at home, I want my cat to be by my side or in my lap:
Little of the time
Some of the time
All of the time
I want my cat to enjoy being held
Little of the time
Some of the time
All of the time
I need my cat to get along with (check all that apply):
Dogs
Cats
Birds
Other
My cat will be:
Inside
Inside and Outside
Outside
I have lived with cats before:
No
Yes
Currently
If yes to the previous question, when?
I prefer my cat to be talkative:
No
Yes
It's not important if my cat is talkative
I want my cat to play with toys:
Little of the time
Sometimes
Often
I want my cat to be active:
Not very active at all
Somewhat
Yes, very
It is most important to me that my cat (fill in the blank):
Additional comments you want to share with us. ** Please note, if you have specific questions you'd like answered before your visit to OHS, please call us at 262-377-7580.
I certify that I am at least 18 years of age and the information I have given is true. I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal and I understand that the Ozaukee Humane Society has the right to deny my application.
I am fully aware that I am adopting a living creature and as such that the Ozaukee Humane Society is unable to guarantee the health of the animal.
If this animal becomes ill, I certify that I am financially and/or emotionally prepared to treat this animal at my own expense.
630 W. Dekora Street, Saukville, WI 53080
(262) 377-7580
info@ozaukeehumane.org
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