| Purrfect Kitty Rescue - Cat application form |
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| Cat you are interested in adopting: |
| Name:
Address:
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| City:
State:
Home Phone:
Cell Phone:
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| E-mail:
Birth Date:
Occupation:
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| Are you married:
Single: In a relationship:
| Do you Rent:
Own: |
| Do you currently live in a
House:
Mobile home: Apartment:
Condo: Duplex: Other: |
|How long have you lived at your current address:
Yrs.
If you rent, please give the name, address, and phone number of your landlord for verification purposes: |
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And does your landlord allow pets? Yes:
No: |
| (Before adoption we need a document from your landlord stating you have permission to have a cat.) |
| Are you a:
College student:
In the military: High school student: |
What is your source of income:
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| How many pets currently in your household? 1: 2:3: 4+:
What vet do you use for these pets:
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| Vet address and phone number:
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| Personal reference name:
Phone number:
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| Please give the following information about pets currently living in your home: |
Name:
| Breed:
Age:
Dog:
Cat: | Other:
Male: Female:
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Fixed Yes: No: | Lives inside:
Outside: Both:
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Name: Breed:
Age:
| Dog: Cat: | Other:
Male: Female:
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| Fixed Yes: No: | Lives inside: Outside: Both: |
Name: Breed:
Age:
| Dog: Cat: | Other: Male:
Female:
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| Fixed Yes: No: | Lives inside: Outside: Both: |
| Are your current pets up to date on rabies vaccinations, booster shots, yearly exams etc, Yes: No: |
| If not, why not:
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| If you have more than 4 other pets, describe briefly:
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| list any vets you have used in the past.(Name, location, and number if available): |
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| Which vet would you be using for this cat. Name, address and phone number: |
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| Would the vets listed on this application have records for all the pets listed? Yes: No: |
| Is it ok if we call the vet(s) for verification of the pet records? Yes: No: |
| How many people are living in your household?
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| Please give the ages and sexes of any children:
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| Do all of the adults in the household share in the decision to adopt? Yes: No: |
Are all of the adults of the household present today?
Yes: No: |
Are you planning on giving this cat to someone as a gift?
Yes: No: |
| If this cat is a gift, will the cat continue to live in your current home, or will it be living elsewhere? Please explain: |
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| Who will have primary responsibility for the cat?
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What best describes your lifestyle?
Very busy: Moderately busy: Mostly at home: |
| Do you plan on declawing this cat? Yes: No: |
| If so, why?: |
| What methods of training would you use to deter unwanted behaviour? |
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| Does anyone living in your household have any known allegies to cats? Yes: No: |
| If yes, please describe how you would handle that: |
| Have you ever adopted from this or another rescue group/shelter? Yes: No: |
| If yes, please give the name and location of the rescue group:
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| If you have other pets, how will you introduce the new cat?:
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| Is there a secluded area of your home where the new cat can become adjusted? Yes: No: |
If you are getting this cat "for the kids" have you considered when the kids grow up, leave home, develop other interests etc.
Will you still want the cat? Yes: No: |
| What might you do if you had to move somewhere that did not allow pets? |
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How much do you think you would spend monthly on vet care, feeding, grooming etc:
How long have you been considering adopting a cat? |
| ADOPTION IS A LIFELONG COMMITMENT TO THIS CAT! ARE YOU READY? Yes: No: |
| I hearby certify that the statements I have made in this application are true and complete. I understand that false or misleading statements can terminate the adoption
process.
I understand this is just an application, NOT a contract, and there is no implied promise that this cat will be mine just by completing this form. |
| Signed: Dated: |
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