Name
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First Name
Last Name
Email
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Address
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We are located in Kenora, Ontario, Canada.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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Best time of day to be reached
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Please tell us about any pets living in your home (type of animal/breed, personality, medical issues, etc.). Giving as much detail as possible helps us to match the personality of your new cat with any animals you already have in your home:
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Tell us how many adults and children live at your residence (please include ages of children):
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Have you spoken with all residents in your home about adopting a cat?
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Does anyone in your home have cat allergies or asthma?
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Have you or anyone in your home been charged with animal cruelty?
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Please check the characteristics of your new cat that are important to you (if you have no preferences, leave blank):
Tell us what personality traits are important to you in your new cat (i.e. cuddly, playful, calm, independent, etc). You can also indicate here if you have a color or breed preference.
Your new cat will be a companion to:
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Your new cat will be home alone:
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Your new cat will live:
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If you are interested in a specific cat or kitten, please indicate here which one as well as where you heard about him or her:
If adopting a special needs cat appeals to you, please indicate your interest by checking here:
Your questions and concerns: Please check all of the following topics you would like to discuss with an adoption counselor:
Please indicate here any other questions or concerns you may have about adopting:
Veterinarian's name/clinic:
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Phone number:
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Name on file if not same as application:
By signing my name, I understand that I am authorizing the referenced veterinarian/clinic to disclose any and all information about current and previous pets to The Kenora Cat Shelter and its representatives. All information will be kept private and confidential.
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First Name
Last Name
