PET ADOPTION APPLICATION  Fixed Felines, Inc. DBA Katskill Mountain Critters (845) 866-1975   Name:____________________________________________________________________________________ Address:____________________________________________________________________________________ Telephone: Home____________________________ Work______________________________ E-mail Address: ______________________________________________                           The Veterinary Reference information (yours or your sponsor's) is REQUIRED: *Veterinary's Address: _________________________________________________________________________ *Veterinary's Phone Number: ___________________________________________________________________ Are your current pets up to date on vaccinations and other necessary vet care? ___________________________ List your other pets:___________________________________________________________________________ ___________________________________________________________________________________________ Have you ever adopted an animal from a shelter? If yes, Where? _______________ When? _________________ Ever surrendered an animal to a shelter? Give details: _______________________________________________ ___________________________________________________________________________________________ Do any members of your household have allergies? ______________ to what? ___________________________ Do you own or rent:____________ If rent require landlord information: (name, address, verifiable phone #)___________________________________ ___________________________________________________________________________________________ Length of time at present address:_______________________________________________________________ Do you have any plans to move in the near future? _______ If at some time you do move, what will you do with your pet?________________________________________________________________________________________ Will your pet stay: primarily inside? ________ primarily outside? ______________ outside only?_____________  Where will the pet be kept when home alone?______________________________________________________ Do you have a yard ?__________ When, xxxxx not fenced, will you use a leash: all the time ______ almost always ______ sometimes ____________ never____   A dog or cat can live well over 15 years and requires a major commitment of time, finances and emotion. Why do you feel you can make that kind of commitment at this time?_____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________   All cats must be kept inside or within a safe enclosure when not in the residence home. I understand my information will be verified for the safety and well being of the pet I wish to adopt. I have answered these questions of the best of my knowledge.   Signature _____________________________________Date_______________________