PCR Adoption Application

Save my progress and resume later | resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Please fill out all questions/sections and submit to be considered for adoption through Purrfect Cat Rescue Name  * Address  * City  * State  * Zip Code  * Drivers License  * Phone (Home)  * Email  * Phone (Other) Why do you want to adopt a cat?  * Will your cat be:  *IndoorOutdoor Have you had a cat declawed?  *YesNo Do you plan to declaw?  *YesNo Where will your cat sleep?  * How long will the cat be alone?  * Who will be primarily responsible for the cat's care?  * Do all members of your household want a cat?  *YesNo Do you know that all cats require yearly vaccinations?  *YesNo What will you do if your cat develops behavior problems?  * Do you currently have a veterinarian  *YesNo May we contact them for reference  *YesNo Name of Vet Address Phone Do you understand that you will be sharing your life with a cat for 15-20 years, who is totally dependent upon you for food, shelter, health and veterinary care. Are you willing and able to make this life-long commitment to a cat?  *YesNo How many family members?  * List how many adults and how many children (ie 2 Adults, 1 child) If you have pets currently, please list them below  * Please include type of animal, age, gender, whether or not they are spayed or neutered, and whether they are indoor or outdoor. Please list all animals you have had in the past 5 years, not listed above  * Please include type of animal, age, gender, whether or not spayed or neutered, and whether indoor or outdoor. Do you:  *OwnRent Landlord Name Landlord Phone Would you agree to a home visit to ensure it is secure for the pet?  *YesNo May we share your address information with Science Diet for money saving coupons to be sent directly to your house?  *YesNo Science Diet has a program by which Purrfect Cat Rescue can obtain free food for our foster kitties if we have enough adopters say yes. Your submission of this form constitutes your signature I certify that all information on this application is true and I understand that false information may void this application. I agree that upon adoption of a cat from Purrfect Cat Rescue, I will agree and abide by PCR's "Adoption Contract".  *YesNo I am interested in a specific kitty/specific kitties Type names of any kitties you are interested in. Please enter the characters you see in this picture: Characters This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen. Can't see the image?  Click here for an audible version in english. Save my progress and resume later | resume a previously saved form