Adoption Form

Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
What is the best time to reach you?*
Our adoption fee is $150, can you afford the adoption fee?

YesNoUnsure
If you answered No or Unsure above, please explain why below
E-mail*
example@example.com
What is your preferred method of contact?

Phone CallTextEmailOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?*
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home, rent, or other? If other, please specify. If you rent, you must give us permission to contact your landlord. Your signature on this form is giving us permission to contact your landlord. If you live with family or friends, your signature is giving us permission to contact them as well.*

OwnRentLiving with friends/familyOther (if chosen, please explain in the next field)
Explain here if you chose "other" above.
If you are renting, what is your landlord's pet policy?
If you chose renting or living with friends or family above, please provide us with your landlord, family, or friends contact information. Your application will not be approved unless this information is given.
Type of Dwelling:*
If you chose other above, please explain here.
What is your occupation?*
How long have you been at your job?*
What is your work phone number and supervisors name? This must be completed before your application will be considered for approval.
Is there a specific cat or kitten you are interested in? Who is it? Why are you interested in this particular cat/kitten?
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
If other, please explain:
What is your reason for wanting to adopt a cat or kitten?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If you chose "other" or "gift" above, please explain here.
If adopting a kitten, where would the kitten be kept when alone?*
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
Are your current cats declawed?*

YesNoN/A
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Is everyone in your household willing to accept your new pet?*

YesNoUnsure
If you answered no or unsure, please explain.
Have you or anyone in your household been convicted of animal abuse and/or neglect?*

YesNo
If you answered yes to this question, please explain.
Over the past 5 years, how many pets have you owned? (Include current pets)*
Please list breed/s and age/s. Are they still living with you? (if not, why?)
Have you ever lost or given away a pet?*

YesNo
If you answered yes above, please explain the situation/s that led to losing or giving away your pet.
If you currently own a dog or cat, how does he/she react to new cats?
What is your veterinarian's name and phone number? If you have pets or have ever had pets, this is required. You must call your vet to give permission to release records to us. This is mandatory and your application will not be considered for approval unless you do this.
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
Can/Will you provide your cat with monthly flea/tick prevention, food, water, shelter, and proper veterinary care?*

YesNo
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeWatch YouTube videosAsk others for help or adviceOther
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Move box to new locationTry a different litterClean box more oftenHave cat examined by vetUse a cat doorReturn CatNoneMake the car an outdoor catOther
If other, please explain:
What brand of cat food/s do you plan on feeding your new cat?*
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Where will your cat spend most of his/her time?*
If you selected outdoor, would your cat be supervised?

YesNo
Please list all adults and children that live in your home and their ages.*
If you have children, will they be supervised around your new cat or kitten?

YesNoSometimes
If you answered no or sometimes above, please explain here.
If there is anything else you think we should know about you and why you will make a great pet parent, please note it here.
Please provide 3 references (Only 1 can be a relative) and their phone numbers. You must give references or your application will not be considered for approval. By signing this document, you are giving us permission to call your references.
Please upload a picture of your driver's license or state issued ID.*

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By signing below you are attesting that all of the information you provided is true and correct to the best of your knowledge. You are also giving permission for us to contact your veterinarian, references, and landlord (if applicable). You are also agreeing that the cat or kitten you adopt must be returned to us at Purrfect Little Warriors in the event that you cannot keep them any longer. You will not be refunded if you decide to bring the cat back to us. You are also agreeing that if we find out after adoption has taken place, that the information on your application was false, we reserve the right to obtain the kitten back from you and no refund will be issued. Basically, don't lie, because we will find out the truth.
Please sign and date below, acknowledging that you have read all of the information on this application. Your signature gives us the right to call your place of employment, landlord, references, veterinarian, and to gather any other information that we may need.

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