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Home , Pet

Thanks for visiting! Your completed profile will help us find a suitable home adoption for each and the companion most compatible with your lifestyle.

profile Name ______Address ______City/State ______Zip Code ______Home Phone ______Cell Phone ______Work Phone ______CA Driver’s License or CA ID ______Email ______Please tell us why you’re interested in adopting a cat ______

adoption fee: $80 | age 7+ $50 | (under 6 months) $120

household 1 Housing: q Own q Rent -- have you received your landlord’s approval? q Yes q No q Living with Parents q Fenced yard at your ? q Yes q No 2 Landlord’s Name ______Landlord’s phone ______3 My household consists of: q Adults only q Family with children older than 10 years old q Family with young children under 10 years old q Live alone 4 The activity level in my home is: q Quiet q Active q Hectic 5 I am... q rarely home (sleep there only) q at home when not at work q home all day (or someone is there) ...... 6 Does any member of your household have to ? q Yes: ______q No pet history 7 Current pets in household: type of pet age sex altered (spayed/neutered)? kept in/out/both how long owned

8 Please tell us about your past pets: type of pet how long owned reason no longer own

continue on reverse 9 Who is your ? ______

10 How much money do you anticipate spending per year for , training, toys, vet bills, etc? q less than $100 q more than $100 Your guess as to yearly amount spent on a pet $ ______

11 Your new pet will spend its time? q indoors only q outdoors only q out during the day / in at night q free access to indoors & outdoors

12 How do you plan to get your new cat to adjust to your existing pets? ______

13 How do you plan to housetrain your new companion? ______

14 How did you learn about us? q word of mouth/friend q website q newspaper q tv q previous adopter q radio q other: ______

15 Did you have a specific animal in mind -- one you already knew was here? q Yes q No If yes, how did you learn that animal was here? q PHS/SPCA Animal Hotline -- our recorded announcement q website q newspaper q tv q radio Please tell us which one:______q other: ______

 I certify that all the information in this application is true and I understand that false information may void the adoption and future adoptions from the & SPCA.

16 Signature ______Today’s Date ______

PHS/SPCA reserves the right to deny adoptions. Our priorities are the health, safety and future well-being of the animals in our care and the health, safety and expectations of people who visit us with hopes of finding a pet who will match their interests, lifestyle and existing companion animal(s).

this section to be completed by PHS/SPCA Counselor: ______I have reviewed these topics (amount of time to vary, depending on adopter’s experience):

q time commitment q financial commitment q our “ideal” home q solutions to less than ideal situations q destructive scratching/solutions q introducing cat to children living in the household q litterbox training q PHS/SPCA Free Behavior Helpline q vaccinations and routine veterinary care q introducing this cat to another cat living in household q shelter behavior vs. behavior at home -- what to expect in first few days...weeks later

Adoption finalized? q Yes q No If no, why not? ______Adoption Follow-up Date of counselor’s follow-up call?______Forwarded to Behavior Dept.? q Yes q No