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Purrrfect Friends Feline Shelter And
Adoptions
ADOPTION APPLICATION – CAT/KITTEN
(Please print)
*NOTE: All adoptions must include a $30.00 deposit for
reservation of a specific cat/kitten. On the adoption day, the balance of
$40.00 must be paid before the feline is released to go to its’ new home. The
deposit and payment will be refunded if the adoption is not approved for any
reason or adoption does not work out within 30 days. Checks, cash or money
orders ONLY: Payable to PFFSAA.
Date:
______________________
Name:
______________________________________
Home Phone: ______________________ Work Phone: ________________________
Street
Address: _____________________________________
City:
E-Mail
(optional): _______________________________________________________________
Employer:
___________________________________________ Work Phone:
__________________________
Spouse/Partner
Name & Occupation: ______________________________________________ Work Phone: __________________________
How
did you hear about the PFFSAA? 
Newspaper Radio TV Friend
Our website
Petfinder.com Other Mobile Event
In order to be considered for an adoption, you MUST:
¨
Be 21 years of age or older
¨
Have identification showing your present address
¨
Have knowledge and consent of landlord/homeowner (if applicable)
¨
Be able and willing to spend the time and money necessary to provide
medical treatment and proper care for the life of a pet.
Why
do you want to adopt a cat/kitten? _______________________________________________________
Do
you: Rent Own Live w/ Parents/Other
Landlord
Name: _____________________Phone: _______________
Do
you live in a: House Townhouse/condo
Mobile Home Apartment
Will
you allow a representative to visit your home: ____________
Best
time for visit: ___________________
Please
list the name of all household members. Include ages for household members
under 18.
For
whom are you adopting this pet? self children family other pet other
Who
will be primarily responsible for the care and supervision of the animal?
_________________________
Will
this cat be in the presence of children frequently? No Yes If yes, what ages: _____________
Do
any household members have known allergies to cats? No Yes
Are
there any disabilities that may cause difficulty in caring for a cat/kitten?
Explain
What
will happen to this cat if you move? ___________________________________
Are
you prepared to accept the cost of a cat in a home? No Yes Not sure
Do
you have a veterinarian for your pet(s)?
No Yes
Name
of Clinic: _________________________________
Approximate
date of last vaccinations for current pet(s): _________________________
As
an adult, have you owned a cat? No Yes
How many hours each day will your cat be
left alone? _____
Will the cat be confined when left alone? ________ Where? _________________
Please
list all pets that you have had in the past two years (both current and those
you no longer have):
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Breed/Type |
Age |
Sex |
Spayed/Neutered |
How long owned? |
What happened to him/her? |
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Do
you plan on declawing this cat? No Yes If
yes, for what reasons? __________________________
For
what potential problems do you feel unprepared? Biting Housebreaking/Marking
Not good with other animals Scratching
Excessive Grooming
Excessive activity level Medical issues
Other: ______________________________________
Is
there a preference on sex, color, size, breed, and/or age? Explain
References: List two references with home address and phone
number
Name:
_________________________________________
Phone:
___________________________________
Address:
_____________________________________________________________________
Name:
_________________________________________
Phone:
___________________________________
Address: _____________________________________________________________________
I CERTIFY THAT THE ABOVE IS TRUE AND UNDERSTAND THAT
FALSE INFORMATION MAY RESULT IN NULLIFYING THIS ADOPTION.
I understand that this questionnaire remains the
property of the PFFSAA.
(Over 21 years) Signature:
_______________________________________
Date: ____________________
Please return this
form to the shelter so that we may review it with you.
*** ALL CATS AND KITTENS, UNLESS OTHERWISE STATED ON
ADOPTION CONTRACT, WILL BE SPAYED/NEUTERED, HAVE ALL SHOTS AND MICROCHIP***