Purfect Kitty Rescue
Purrfect Kitty Rescue - Cat application form
Cat you are interested in adopting:
Name: Address:
City:    State:    Home Phone:    Cell Phone:
E-mail: Birth Date: Occupation:
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:
   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:
How many pets currently in your household? 1: 2:3: 4+: What vet do you use for these pets:
Vet address and phone number:
Personal reference name:   Phone number:
Please give the following information about pets currently living in your home:
Name: | Breed:   Age:   Dog: Cat: | Other: Male: Female:
Fixed Yes: No: | Lives inside: Outside: Both:
Name:   Breed:   Age: | Dog: Cat: | Other: Male: Female:
Fixed Yes: No: | Lives inside: Outside: Both:
Name:   Breed:   Age:   | Dog: Cat: | Other:  Male: Female:
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:
If you have more than 4 other pets, describe briefly:
list any vets you have used in the past.(Name, location, and number if available):
Which vet would you be using for this cat. Name, address and phone number:
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?
Please give the ages and sexes of any children:
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:
Who will have primary responsibility for the cat?
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?
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:
If you have other pets, how will you introduce the new cat?:
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?
How much do you think you would spend monthly on vet care, feeding, grooming etc:
How long have you been considering adopting a cat?
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: