Enter the name of the cat/kitten you are interested in:     Date:

Please provide the following contact information:

First Name
Last Name
Street Address
City
State/Province	Zip/Postal Code:        County:
Home Phone
Cell Phone
Alternate Phone
E-mail
How long have you lived at this address: If this is a condo that you own, is there a pet policy or limit to number of pets allowed if any: If this is a rented unit, how many pets/cats are you permitted to have? Security deposit required per pet:      Monthly fee per pet: Landlord’s name:       Landlord’s phone: We reserve the right to contact landlord regarding pet policies to ensure that cats are allowed.

Are you 21 years of age or older and head of household where the cat will reside? No Yes Select

Have you ever been charged or convicted of animal cruelty? No Yes Select

Why do you want to adopt at this time?

Who will be the primary caretaker?

Have you ever owned a cat before? No Yes Select

How many household members? Adults:         Children (and child's age):

Please list names and ages of every adult residing in household (including yourself):

(For households with children under 6 years of age, Purrfect Friends will evaluate case by case whether cat/kitten of interest is appropriate for household.  
It is recommended to adopt a kitten over 6 months of age for households with small children)

Does anyone in the household have allergies to cats? No Yes Select

Do all household members agree to the adoption of this cat?  No Yes Select

If no, please explain:

Please list all animals you have owned in the past 5 years and indicate which ones are current. If there will be other pets living in the home, please list those as well, i.e. belong to a roommate: :

Have any other cats living in your home been tested for FIV and Feline Leukemia  No Yes Select

Results of test?

Do your current pets go outside?  No Yes Select

What brand of food do you currently feed your pet?

Have you ever:
    Lost an animal? (ie ran away, killed by car, poisoned, etc)       No Yes Select
    Had an animal die of disease/illness       No Yes Select
    Had your cat declawed/tendonectomy or owned a declawed cat?       No Yes Select
    Given an animal away?           No Yes Select

Where will the cat be living? Indoor Only Indoor/Outdoor Outdoor Only Select one

Owning a cat is a long-term commitment and cats live to the average age of 12-15, sometimes longer. What will happen to the cat/kitten if you move or have a life-changing event (i.e., birth, marriage, etc)?

Do you plan on declawing/tendonectomy your new cat/kitten? No Yes Select   Why or why not?

Please list current or past veterinarian(s) used and phone number(s):  

Please list a personal reference (name and phone number):

May we conduct a post-adoption visit? No Yes Select     Best Day/Time to Visit:

Do you have questions about the proper way to introduce this cat to your home and new family?
Please ask us about the proper way to introduce your new cat to your family!

Do you agree to accept responsibility for scheduling and completing yearly physical exams and vaccinations as recommended for this animal?  No Yes Select

IMPORTANT!  Are you willing to accept this adoption as a lasting commitment throughout the life of this animal?  No Yes Select

EMPLOYMENT:

Employer: 

Position:

Length of Employment:    Work phone:

In the event that proper care of the animal cannot be maintained or if circumstances prevent keeping of the cat, we request that the cat be returned to Purrfect Friends.

I hereby certify that all answers and statements are true and correct. I understand that giving a false answer may result in denying an adoption. Purrfect Friends reserves the right to accept or deny any application. If application is approved, I understand that there will be an additional adoption contract to sign.

    Signature:         Date:

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