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Your Name (First and Last): 
Barbara Dietz
Phone number (please include area code): 
8287790933
Species of Pet: 
Cat
Pet's Sex: 
Male
Is your pet spayed/neutered?: 
Yes
Pet's Age: 
7
Breed: 
DSH cat
Weight (in pounds): 
8
Does your animal have a microchip?: 
No
How did you get your pet?: 
neighbor passed away
How long have you had your pet? *: 
2 months
How long can you keep your pet before surrendering? *If less than one week, please call our Safety Net helpline at 828 761-2008: 
1 Month
Why do you need to rehome your pet?: 
Owner Life Changes
Check all the following that describe your pet: 
Quiet
Shy
Fearful
Independent
Nervous
Likes men
Likes women
House-trained
What is something you love about your pet? What else should someone know about your pet?: 
knows and comes to his name, is very vocal and talkative
Has your pet lived with: 
Cats
How many hours is your pet home alone each day?: 
all day
What does your pet dislike or fear?: 
dogs
Where is your pet kept during the day?: 
outside
Where does your pet sleep at night?: 
outside
How does your pet ride in the car?: 
crated
Please list any past or present injuries, treatment or other medical histories.: 
none
I agree that I will respond to all requests for more information about my pet in a timely manner (Checking No will stop Post): 
Yes
I certify that I am the lawful owner of the pet identified here: 
Yes


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