Form
PJ's Kitty Rescue Adoption Application
$150 adoption fee for one kitty and $250 to adopt a pair
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Name of kitty you are interested in adopting:
*
In order to be considered for adopting from PJ’s Kitty Rescue you must: 1. Complete an adoption application 2. Be at least 18 years of age and/or have the consent of parent or guardian 3. Meet our Adopter Expectations 4. Picture of ID or Passport
Please understand that PJ’s Kitty Rescue reserves the right to reject any applicant for any reason.
Date of Birth:
*
What is your occupation? Student? Retired?
*
Emergency Contact Name and Phone Number:
*
Please list all family members that will be living with the animal, including their relationship to you and birthdate (month/day/year):
*
Is anyone in your home allergic to animals?
*
Yes
No
Why do you wish to adopt a pet from PJ’s Kitty Rescue?
*
Why are you interested in this kitty (or kitties) in particular?
*
What is the maximum amount you’d be willing to spend on vet care if there was an emergency?
*
Do you live in a:
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House
Condo
Apartment
Other
Do you have your landlord’s written permission to adopt an animal?
*
Yes
No
N/A
Where will your PJ’s Kitty Rescue animal be kept during the day?
*
At night?
*
How many hours of the day are you usually away from home?
*
What type/brand of food will you feel your new cat?
*
In the event that you are no longer able to care for your cat, please list who will be caring for the cat (Name, DOB, and phone number)
*
Will your new cat be let outside ?
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Yes
No
Would you ever consider declawing?
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Yes
No
How did you learn about PJ's Kitty Rescue?
*
CURRENT PETS: Please include all pets, including small caged and barnyard animals. Type of pet, age, sex.
*
If you have cats, are they current on their vaccines (Rabies, FVRCP, FELV)?
*
Yes
No
N/A
If you have dogs, are they current on their vaccines (Rabies, Bordetella (Kennel Cough), DHLPP)?
*
Yes
No
N/A
Are you current pet(s) Spayed/Neutered?
*
Are you current pet(s) kept inside or outside?:
*
What vet do you plan on using? Please list the name/number of the vet and whether or not you are an established client
*
Please list three references and their phone numbers (who do not live with you) and their relationship to you
*
Do you have a separate room or space to keep your new kitty in so they can get acclimated to their new home when they first arrive?
*
PJ’s Kitty Rescue Adopter Expectations (please read carefully, initial each box, and sign to indicate agreement)
I will provide my new pet with any necessary medical care.
*
If for ANY REASON I need to re-home my cat, I will contact PJ’s Kitty Rescue at (505) 302-0499. I will NOT adopt my cat off at a shelter.
*
I will give my new pet as much love and attention as I can.
*
My pet will be kept safe to the best of my ability.
*
I will keep my cat INDOORS ONLY.
*
I will not declaw my new pet.
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All members of my household consent to me adopting a new pet.
*
Adopter name (printed):
*
Date:
*
RELEASE OF LIABILITY/We have read and fully understand the PJ’s Kitty Rescue Adoption Expectations.
*
There have been no other representations or promises other than those included in this Adoption Application.
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I/We understand that PJ’s Kitty Rescue is in no way liable for lost or damaged property, illness that may arise from caring to you or any member of your household,
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I/We, hereby for myself (ourselves), heirs, administrators and assigns, fully, irrevocably and unconditionally release and agree to hold harmless PJ’s Kitty Rescue and its individual members from any and all known or unknown, anticipated or unanticipated, suspected or unsuspected causes of action, charges, suits, debts, demands, claims, liabilities, losses, costs, expenses (including, without limitation, attorneys' fees) or damages, including but not limited to any medical costs, damage to property, persons or other pets, of any and every kind, nature and description, at law or in equity, in connection with or arising from care for the agreed rescue companion animal.
*
Signature and Date
*
Submit
Should be Empty: