How many cats need placement:
Cat Name:
Age of the cat:
Cat's
Gender:
Cat Description:
Please indicate gender, color, breed,
and whether the cat is short- or long-haired.
Need Placement By (Date):
Please indicate the date by which this cat must be placed; keep in mind that urgent requests (placements that must be immediate) are unlikely to be accepted.
Reason for Request:
Indicate if the cat is a stray cat,
or an owner-surrendered cat. If an owner-surrender, please indicate
reason the cat is being given up.
Cat's
Behavior (Select all that apply):
Able to
trim nails
Bites
Scratches
Can pick up and
hold
Does not like
other cats
Lap cat
Litterbox issues
(urination)
Litterbox issues
(defecation)
OK
with children
OK
with dogs
Hates
carrier
Has On-Going Medical Issue
Cat's
Personality:
Indifferent
Somewhat Friendly
Very Friendly
Sweet but Scared
Not Very Friendly
Aggressive
Select
Is the Cat Declawed?
No
Yes- Front Only
Yes- Front and Back
Select
Is the Cat Spayed/Neutered?
No
Yes
Don't Know
Select
If
you have an appointment for spay/neuter for the future, what is the
date of the surgery and location?
Is the Cat up-to-date on vaccines and flea treatment?
No
Yes
Don't Know
Select
Veterinary records must be provided
to show cat's currency on vaccines, flea treatment, etc.
Was the Cat healthy at the last vet visit?
No
Yes
I have not taken this cat to the vet
Select
When
was the Cat's last vet visit?
Do
you have any vet records for this Cat that you can provide?
No
Yes
Select
Name
of the Vet:
Are
you able to make a donation to offset the cost of care for the Cat?
(please indicate the amount you could comfortably pledge): Note:
Purrfect Friends is a registered 501(c)(3) non-profit and your
donation may be tax deductible
Was
the Cat adopted from a rescue originally?
No
Yes
Don't Know
Select
If
so, please list what group:
How
did you hear about Purrfect Friends?
Courtesy
Posting:
If we are unable to accept the cat at this time, we
will courtesy post the cat's listing on our website, Petfinder, etc.
We have had many cats adopted this way.
Do you want us to Courtesy Post this cat?
No
Yes
Select
Cat's Bio- this is what people will see about the
cat:
Describe the cats physical characteristics,
behaviors, etc. Be as descriptive as possible.
What Contact Information (from above) do you want in
the posting?
Email
Home
Phone Number Alternate
Phone Number
Please email GOOD pictures of the cat to info@purrfectfriendscatrescue.org
Owner
Surrender Statement:
Please read carefully and acknowledge your acceptance should
Purrfect Friends be able to accept the cat into our rescue. This is
not a guarantee of intake!
I declare that I am the owner /current caregiver of
the cat described above and that I have the authority to transfer
ownership of this cat to Purrfect Friends Cat Rescue and their
representatives. Further,
I declare that all of the information stated on this form is correct
and is complete to the best of my knowledge.
I understand that falsification or omission of information
regarding the above described cat may result in my being held liable
for future actions of this cat, for future medical expenses for this
cat or for legal expenses involved in any dispute of your right to
surrender this cat to Purrfect Friends Cat Rescue. I hereby agree that
the animal specified here which I own or which I have custody of,
shall be removed from my custody and cared for by Purrfect Friends Cat
Rescue. Acceptance
of the cat into the Purrfect Friends Cat Rescue adoption program is
contingent upon the cat testing negative for the infectious diseases
of Feline Aids (FIV) and Feline Leukemia (FELV). .
I understand that I am surrendering all ownership
rights to the cat described above with the intention of its adoption
and placement in a new home and that Purrfect Friends is under no obligation to
inform me of the disposition of this cat. I understand that if I
wish to reverse the effect of this surrender, I must go through the
normal adoption procedure for Purrfect
Friends Cat Rescue , no exceptions.
Although not required, a financial donation to Purrfect
Friends Cat Rescue is always appreciated in order to help defray
the costs of caring for the cat until a new home can be found.
I
have read and agree to these terms
Yes
No
Name:
Date: