CAT ADOPTION APPLICATION

Name of Cat(s) you are applying for

Today's Date

Date

Adoption Application Agreement - PLEASE READ

It's important to answer each question thoroughly and specifically. Please include all phone numbers and do not leave any applicable question blank. Please include a detailed explanation for any question where you are asked to elaborate an answer.

If you are married or currently living with a significant other, that person's information must be included where the application asks for Co-Applicant information. You must be at least 18 years of age to submit an adoption application (Applicant & Co-Applicant)

All applications may be followed with a home visit.

We are not first come first served. Pure Mutts focuses on finding good matches between cats and families to ensure lifelong adoptions. Pure Mutts reserves the right to refuse adoption to anyone without disclosing the reasons.

By signing below, you are verifying that you have read and agree to all terms stated above.

I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we understand that completion and submission of this application does not guarantee adoption of a cat.

Applicant's Signature

Applicant Name and AGE

Phone Number

Please enter a valid phone number.

Co-Applicant Name and AGE

Phone Number

Please enter a valid phone number.

Applicant Relationship to Co-Applicant

Number of Children in the household, names and AGES

Besides your immediate family are others residing in your home and if so, relationship and ages? (Extended family, friends, roommates, tenants)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant Email

example@example.com

Co-Applicant Email

example@example.com

Applicant Employer

Occupation

How long with this employer?

Co-Applicant Employer

Co-Applicant Occupation

How long with this employer?

What is the reason you are drawn to this particular cat or cats if bonded pair? Is this cat a companion for a specific person or another pet?

Who will care for the cat (feed, clean litter box, etc.)?

Would you consider a special needs cat or one who requires medication?

Does anyone in your family have allergies to cats?

May we visit your home prior to application approval?

Please list ALL your current pets and species, their name/s, age & gender, breed

Spayed/ Neutered? (If not, why not)

Up to date on vaccinations? Declawed?

Where did you get this pet?

How long have you owned this (or each) pet?

Name of Veterinarian (current or planned)

Phone number of your current veterinarian or veterinarian you plan to use

Note: Please give your veterinarian consent to release medical records and information to Pure Mutts so as not to delay your application process.

How long have you lived at your current address?

Do you own or rent?

Please describe if a house, apartment, townhouse, condo and square feet

If you rent please provide your landlord's name

If you rent, please provide your landlord's phone #

Do you have the permission of your landlord to have a cat?

Do we have your permission to call your landlord to check on his or her approval?

Is a pet deposit required?

How long will the cat be left alone (without humans) on a typical day?

Please describe where the cat will stay when you are not home

Will your cat be allowed outdoors? If yes, how often? During what time(s) of day/night?

If yes, how will your cat have access to the outdoors? (Please check all that apply)

Do you plan on declawing your cat?

What food do you plan on feeding the cat?

Are you committed to providing a responsible home for your cat's entire life (15+ years)?

Are you aware that routine costs can be a minimum of $300 a cat per year?

Do you understand and accept that changing a cat's environment may cause the cat to have accidents outside of the litter box, especially in the early days of the adoption?

Have you ever sold, given away, or surrendered a pet to a shelter or otherwise?

If yes, please specify why the pet is no longer with you and where or to whom he/she went

What type of personality best describes what you are looking for in a new cat? (Please check all that apply)

When/if you should have to move what will you do with your cat?

In case of emergency, who will care for your cat (please include contact info?

How will your cat be cared for when you are out of town or on vacation?

PUMAR