Applicant's Name *

First Name

Last Name

Phone *

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###

####

By checking this box, I certify I am over 21 years of age. *

I agree

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you own or rent your home? *

Own

Rent

Other (please provide details in comment section below)

If you rent, do you give permission to contact your landlord for a reference?

Yes (please provide Landlord Name and Best Contact Number in comment section below)

No (please provide rationale in comment section below)

Are you willing to deal with and correct issues that may come with owning a cat? For example, litter box retraining, chewing, scratching, climbing, or jumping on counters/furniture? *

Yes

No (please provide rationale in comment section below)

Commitment *

Pets are family members for life. The mission of St. Gertrude Rescue (SGR) is to lovingly guide abandoned and orphaned cats and kittens toward their intended forever family. By adopting from SGR, you are making a commitment to provide love, care, and medical treatment for the life of the kitty, which can be 20 years or more. By completing this application, I am expressing interest in one of SGR's felines and grant St. Gertrude Rescue permission to conduct a reference and vet check.

I agree

By checking this box, I consent to utilizing a digital signature: *

I agree

Today's date: *

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DD

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