Name: Veterinarian
Brand: Modern Vet Care

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

References (please list 3 references, their phone number, and their relation to you):

Where will the pet be kept:

Do you currently have any pets (if so, what type):

Are your other pets up to date on vaccines:

Yes

Time spent at home (per day):

Occupation:

What arrangements will you make for caring for your pet(s) while you are away on business or vacation?

Will the cat be kept indoors only:

Yes

Do you have screens or window guards?

Yes

Have you previously had any pets:

Yes

Were they spayed or neutered?

Yes

What is the name of your last veterinarian and when was that visit?

Do you rent or own?

Yes

If renting, does your lease permit pets?

Yes

Please acknowledge and initial the following:

I am 21 or older. I can provide identification showing my present address. If renting, I have the consent of my landlord to adopt a pet.

I certify that all of the above information is true and accurate and I authorize the representatives of MVC FORSTERS to contact those listed above. I understand that if I adopt a cat/kitten from the MVC FOSTERS and it is later discovered that I have falsified any information on this application, the adoption will be null and void and I must return the cat/kitten(s) to the MVC FOSTERS.

I will return to Modern Vet Care or another veterinarian to complete any vaccines or spay/neuter when appropriate. I understand Modern Vet Care has performed an exam on the animal at the time of adoption and the animal appears to be in good health, but that health issues can arise at any time. I agree to follow up with Modern Vet Care or another veterinarian regarding any health concerns.

I am interested in adopting (please list name of cat):

Please contact us regarding the cost of adoption.

(includes all vaccines, FeLV/FIV test, fecal, deworming, and spay/neuter)

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Adoption Form from MVC Fosters

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