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In memory of Peter Zippi, a young man dedicated to the care of animals, The Peter Zippi Fund For Animals was founded in 1977 by Dr. Alice Villalobos. We have adopted out over 11,500 pets (mostly cats) since then. The fund is run by wonderful volunteers who work tirelessly to help those who can't help themselves. The fund sponsors medical treatment, shelter, and adoptions for lost and homeless animals. | ||
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Owner Surrender |
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The purpose of this questionnaire is to supply current information about the cat
for which you want help rehoming. It will provide the basis on which we refer potential
adopters. The more complete information that you provide, the better chance your cat has
for finding a new adopter. A tax-deductable donation is requested for intake of an animal,
and can be discussed with the adoption counselors. If you experience any difficulties with this form (or if you are not using
a forms-capable browser), you may email your responses to: contact@peterzippifund.com. |
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First
Name*
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Last Name
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*This form cannot be processed if the first
and last name of the owner is left blank.
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Address
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City
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Home
phone
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Work
phone
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E-mail
Address
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Name of Pet
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Birthdate or Age
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Sex
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Male
Female
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Neutered?
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Yes
No
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Breed?
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Color
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Hair length?
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Short
Medium
Long
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Declawed?
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Yes
No
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Weight or size
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Date of spay/neuter
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Date of last exam
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Date of most recent FVRCP |
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Date of most recent Rabies |
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Felv/FIV tested? Result? |
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What food are you feeding? How much? |
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Has your cat had any other surgeries other than spay/neuter? |
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If so, what/why? |
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Why can you no longer keep your cat? (Describe in detail) |
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Where does your cat spend his daytime hours? |
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Is he/she alone during the day? |
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Where does he/she sleep at night? |
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Does your cat share space with another cat or dog? |
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What behavior do you think needs improvement? |
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Describe the home that you think would be ideal for your cat |
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Has your cat lived with children? What ages? |
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Has your cat ever had "litterbox" avoidance or sprayed urine? |
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Has your cat ever scratched furniture? |
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How long long do you have to find a new home for your cat? |
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Do you have some good clear pictures of your cat that you could send us either by email or
regular mail? |
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Provide any additional information that would help us in placing your cat. |
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