CAT PROFILE FORM
About You
Name:
Profile Form Date
Month
January
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December
Day
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Year
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Home Phone:
Work Phone:
Cell Phone:
Work Extension:
Address:
City:
State:
Zip:
Email:
Can you keep the pet until it is adopted?
Yes
No
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No
Yes
About the Pet
Pet Name:
Formerly Known as:
Pet Gender
Male
Female
Pet Description (breed):
Declawed:
Yes
No
Weight (pounds):
Age:
Reason you are giving up the pet:
Ideal adoptive home:
No Dogs
No Cats
Designated Cat
Medical Information
Vet Name:
Vet Phone:
Vet Ext:
Recent Vet Visit?:
Is the pet spayed or neutered?
Vaccination dates?
FIV/Leukemia testing dates?
FIV/Leukemia testing results?
Does the pet have any old injuries or health problems?
Yes
No
If yes, please describe:
Current health concerns?:
Does the pet need any medication or special diet?:
Yes
No
If yes, please describe:
When was the pet usually fed:
AM
PM
Free Fed
Other (please describe below)
What do you feed the pet?
Are there any special dietary concerns?
Living Environment
How long have you had the pet?:
Where Acquired:
How much of the time was the pet outside?
How much of the time was the pet inside?
Where did you leave the pet when you were gone on holiday/vacation?
Is the pet litterbox trained?
Yes
No
Litterbox training comments:
If there are litterbox problems, has the pet been seen by a vet to rule out physical issues?
Yes
No
Behavioral Concerns
Gets Along With:
Dogs
Cats
Children
Concerns:
Administrative Use
EAPL Tag Number:
EAPL Representative Comments:
EAPL Representative Who talked to you:
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