Name
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First Name
Last Name
Home Phone
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Cell Phone
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Email
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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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Are you 21 and over?
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Employment
Work Phone
Are you a veteran or active duty service member that is currently approved with Pets for Patriots?
Veterans and active duty service members who have been approved through Pets for Patriots will receive a 20% discount on adoption fees for eligible dogs and cats. To see eligibility requirements for veterans and active service members, please visit https://www.petsforpatriots.org/
Would you like to receive email updates?
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How did you hear about the APCSM?
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Housing
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Own
Rent
Live with parents
Type of Housing
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How long have you lived at this residence?
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Landlord's Phone Number
Please list the ages of all members in the household, including the primary adopter
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Who will be the primary caretaker of your cat?
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Does anyone in the household have allergies to animals?
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Yes
No
If yes, which types?
Please list animals you have owned in the past 5 years.
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Please include name, type of animal, breed, age, sex (spayed/neutered), still own (if no, please explain).
Your Veterinarian
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Veterinarian's Phone Number
Please call your vet and give them the "ok" to release medical history to shelters. Are your vet records already released?
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If your veterinarian has permanently closed, please email any medical paperwork you have to info@apcsm.org
Please check below if you would prefer to do a general meet and greet with multiple cats or if you have a specific cat in mind.
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If the specific cat you are interested in has already been adopted, are you interested in us contacting you regarding any other cats?
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Sometimes, we receive multiple applications for one animal. By selecting "No," a staff member will NOT contact you regarding our other available animals.
Please tell us why you would like to adopt a cat.
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Where do you plan to keep your cat?
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Your adoption counselor will provide detailed information about caring for your new kitten/cat. Do you have any specific questions or concerns?
Please read: after your submit an application, you must wait to hear from an adoption counselor before coming to the shelter. The APCSM operates by appointment, so a member of our team will contact you to set up an appointment. Please kindly take note that we do not retain applications for extended periods, nor for special requests. For instance, if you are in search of a medium-sized hypoallergenic dog, it is your responsibility to regularly check our website for available animals. Please check the box below to certify that you have read and understand this statement.
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By typing your name below, I certify that the information I have given is true and that I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I understand that the Animal Protection Center of Southeastern Massachusetts has the right to deny my request to adopt an animal, and I authorize investigation of all statements on this application.
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