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Petland Discounts Cat Questionnaire

Thank you for your interest in the Petland Discounts Pet Store Cat Adoption Program. Please complete the following questionnaire and a representative from North Shore Animal League America will contact you shortly.

PLEASE NOTE: Forms submitted without a valid ADOPTION # and STORE LOCATION will not be reviewed and/or contacted. If you’re interested in learning general information about our adoption process click here, or call 516-883-7900 and ask to speak with an adoption counselor.

                                                                                                           

* = required field

ADOPTION #:*
STORE LOCATION:*
   
First Name:*
Last Name:*
Address:*
(Include street address, city, state and zip):
Primary Phone:*
Alternate Phone:
Email Address:*
How long at this address?
Do you own or rent?*  
If rented, may we contact your landlord?    
Landlord Name:
Landlord Phone:
Besides you, who else resides at this residence?  
Does any member of the household have allergies to cats?*
 
Are you adopting for yourself or for someone else?*
 
What is your current occupation?
Where will your cat live?*
   
Please list any pets you currently have (type, age, sex, spayed/neutered?)
Have you had any pet in the past?
If so, what kind?
What happened to the pets you no longer have?
Are you willing to care for this cat for the next 10-20 years?*
Please provide us with two/three references we can contact.
Reference #1:*
Name:*
Phone Number:*
Reference #2:*
Name:*
Phone Number:*
Reference #3:
Name:
Phone Number: