PCPAS Cat Adoption Application

PCPAS Feline Adoption Application
Adoption Fee $65 (covers spay/neuter, vaccinations up to age, and microchip).
Sumitting this application does not mean you are commiting to a cat, nor does it guarantee you will get that cat. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle. A successful adoption depends on selecting the right cat for your household and a good understanding of the cat's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
Name of the cat you want to adopt*
Adopter's Name*
First & Last Name
Co-Adopter's Name
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Adopter's E-mail*
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Are your current pets altered?

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
Vet reference (please call your vet and give permission to release information to us)*
Vet name, address & phone number
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to adopt this cat?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Are you going to meet another cat?*

YesNo
If so, when?
Is anyone in your home allergic to cats?*

YesNo
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on cats at the property?

YesNoNot yet, but I willIt's written in our lease
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have cat/s and showing any limitations. If you live in a condo or townhome, you must show us written proof that you are allowed to have a cat there and show any restrictions.
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
Please do not submit this application if you are "trying to talk someone into" adopting this cat or think "once they meet the cat, they will want one" or "I'm getting this cat as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the cat, but we would like all adults in the home to be involved in that email discussion.
Based on the description in the cats bio, do you feel pretty confident that you will be likely to adopt this cat upon meeting it?*

YesNoNot sure
Upon meeting the cat, what would give you cause to not want to adopt it? Please explain.*
How much do you feel you can reasonably afford and would be willing to spend on your cat per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, pet sitting, etc)? *
What activity/energy level do you prefer?*

Wild and crazy is coolMedium energy, plays a bit then hangs out with youLow energy, a total couch potatoOther
Please check all that apply. My adopted catwill...

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayHave free reign of the house when we are not homeBe interacting frequently with older childrenBe boarded when we go on vacationStay with family when we go on vacationBe free roaming on the farm (unfenced)Other
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the cat?*

HousebreakingJumpingCounter surfingFear of menFear of womenFear of childrenGrowlingHigh activity levelLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergiesTrimming nailsYeast on coat or in earsEar mitesFleasTicksOther
What would cause you to return a cat?*
What do you feel is a reasonable amount of time for a cat to adjust to life with you/your family?*
How do you plan to integrate this cat into your family?*
What would you do if you discovered after adoption (at any time during the life of the cat) if your vet diagnosed an expensive health condition?*
Grooming (please check all that apply)*

We use a professional groomerWe check ears weekly for infection/yeast/mitesWe check coat daily for ticks in spring/summer/fallWe clean teeth using home methodsWe take our cats to the vet for dentals whenever the vet recommends this is neededPrefer a cat that doesn't shedDon't care about shedding
How long have you been looking for a cat?*
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a cat?*
I understand that completing this application does not guarantee I will be allowed to adopt a cat, and that the application is a tool to help PCPAS determine if this cat and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted cat from my possession. I also certify that I have never been convicted of animal cruelty or neglect. I agree to allow a representative from PCPAS to contact my vet for a reference. If I am approved to adopt a cat, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption. I understand that all cats adopted from PCPAS will be spayed/neutered, microchiped and vaccinated prior to adoption.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Co-Applicant's Signature
Signature date*
After you submit this form, it will take you back to the PCPAS home page. Feel free to email us with any questions: Contact jchustz@pcparish.org Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above. PCPAS reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued cats.
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PCPAS Feline Adoption Application

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