| Pet (s) You Are Interested In * |
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| ADOPTER'S INFORMATION |
| Your Name * |
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| Street Address * |
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| City * |
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| State * |
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| Zip Code * |
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| Phone Number * |
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| Email Address * |
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| Driver's License number |
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Do you have any other animals?
If yes, please list species and age (s) |
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If you do not have any animals now, have you had animals in the past?
If yes, please provide details |
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| Do you own or rent? * |
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| If renting, does you lease permit pets? * |
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| VET INFO & REFERENCES |
| Veterinarians Name * |
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| Veterinarians Phone # * |
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| Please list 2 references who are NOT family members |
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| ADOPTER'S AGREEMENT |
I agree that the animal is being adopted for myself and will not be sold,
adopted, or given to another party (initial here) * |
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| I agree that the animal will not be allowed outdoors without proper supervision (initial here) * |
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| I agree to care for the animal in a humane manner and be a responsible animal guardian. This includes supplying adequate food, water, shelter, attention, and medical care (initial here) * |
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| I agree that I will not declaw the cat (initial here) * |
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| I agree that if at any point I can not keep the animal, I will return him/her to the Netcong TNR Project without requesting a fee (initial here) * |
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| I understand and agree that the Netcong TNR Project makes no guarantees about the cat/kitten's temperament and is not responsible for future damages or injuries caused by the cat/kitten (initial here) * |
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| I give the Netcong TNR Project permission to call my home at any reasonable time to assure that the cat/kitten is being properly treated and cared for (initial here) * |
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| I agree to keep the rescue informed of my current home address and phone number (initial here) * |
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| I agree to be fully responsible for the cat/kitten's medical care from the date of adoption onwards. (initial here) * |
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Verification:  |
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