Adoption Application

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.

Adoption Application

PCR Adoption Application