Foster-to-Adopt Application
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Primary cat you're interested in
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Biscotti (Cat - T2022029)
Boyfriend (Cat - S2021177)
Candy (Cat - S2021201)
Charlie B (Cat - S2021004)
Hollywood (Cat - T2022033)
Ingrid (Cat - S2021225)
Itty Bitty (Cat - T2021008)
Karma / Salem (Cat - U2022007)
Lenny (Cat - S2021142)
Lisbon (Cat - S2021124)
Mollie (Cat - S2021241)
Paddington (Cat - S2022034)
Princess (Cat - S2022016)
Squiggy (Cat - U2021025)
Tiger (Cat - U2021037)
Tony the Tiger (Cat - T2022034)
First Name
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Middle Initial
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Last Name
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Date of Birth
*
Spouse First Name
Spouse Middle Initial
Spouse Last Name
Spouse Date of Birth
Your Street
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City
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State
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
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Home Telephone Number
Mobile Phone Number
Your Email Address
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What Is Your Occupation?
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Who Is Your Employer?
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Number of adults in home?
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1
2
3
4
5+
Number of children in home?
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0
1
2
3
4
5+
What are their ages?
Do you rent or own?
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Own
Rent
If renting, what is your landlord's name and number?
Have you had any animals in the last 10 years?
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Yes
No
If yes, list name, age, type (dog, cat, etc), and whether they are alive or deceased
If you've had cats, have they been indoor, outdoor, or both?
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Indoor
Outdoor
Both
Have you ever declawed a cat?
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No
Yes
If yes, please explain why.
If you moved to the countryside would you let your cat outside?
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No
Yes
Veterinary Reference for pets within last 10 years (Enter name, address, phone #)
How did you find Ten Lives?
Facebook
Instagram
Petfinder
Friend
Family
Other
If you choose not to adopt, are you able to continue fostering until the cat is adopted?
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No
Yes
By signing this application, I agree to the following: All statements made on this application are truthful; I have made no false statement with regard to family members in household, status of my home ownership and any other statements made on this application.
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Agree
Disagree
Electronic Signature
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