Adoption Application Form

Please read before applying:

All cats are dewormed, treated for fleas, tested for FIV/FELV and negative (unless otherwise noted), vaccinated, microchipped, and spayed/neutered. Kittens too young to be spayed/neutered and still needing boosters on vaccines are available for foster-to-adopt until they are spayed/neutered, then the adoption can be official.

The adoption fee is $200 for one cat over one year old and $250 for one cat under one year old. If adopting a pair of cats, we discount the adoption fee by $50 dollars. Your adoption fee goes towards vetting and allows us to continue rescuing new cats, so there are no exceptions to the adoption fee. *Sometimes we receive grants that help us lower adoption fees, but may only apply to certain cats.

All kittens under 6 months old must be adopted with another kitten unless you have a young playful cat at home.

Applicants must be 21+. The person applying must be the primary caretaker off the cats/kittens, we do not accept applications for kittens as gifts.

Please note we are a NJ based rescue. All applicants must live in Hudson, Bergen, Essex, Passaic, or Morris counties due to distance from the rescue base.

We are a small rescue and we respond to applications as quickly as possible. Our current response time is 2-5 days. *If your application is denied, you will not receive a response from us.

How did you hear about North Bergen Purr?*

Name of Applicant*

First NameLast Name

Name of Co-Applicant

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Birthdate*

Applicants must be atleast 21 years old

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of cat(s) you are applying for:*

What are you looking to adopt?*

Pair of kittensSingle kitten (*you must have another friendly young cat at home)Adult catPair of bonded adults

Why are you interested in adopting?*

I want a companion for myself/my family.I want a companion for another pet.I want a mouser or "working" cat.Other

Please list the NAMES and AGES of all people that currently live in your home.*

Is anyone in the home allergic to cats that you are aware of?*

YesNoUnsure

Have you had any pets before?*

YesNo

If yes, please tell us about them, including where they are now.*

Have you ever had to give up a pet? If yes, please give the reason.*

Do you currently have any pets?*

YesNo

If yes, please tell us about them (age, gender, personality)

Are they spayed/neutered?*

YesNoUnsureI don't have any pets

If you currently own a cat, are they declawed?*

YesNoUnsureI don't have any cats

If you currently own a cat, do they go outside at all? This means out into the backyard, on a patio, on a porch, etc.*

YesNoI don't have any cats

If you answered yes to the above question, please explain:

If you currently own a pet, do you have pet insurance?*

YesNoI don't have any pets

If you have personally owned or currently own animals, please provide your veterinary reference: *Provide the name, address, and phone number. **PLEASE CALL AND GIVE THEM PERMISSION TO TALK WITH US!

Briefly describe your residence*

How long have you lived there?*

Do you rent or own a home?*

RentOwn

Does your building allow pets?*

YesNoUnsure

If you rent please provide your landlord's name & phone number: *

Are your windows completely screened?*

YesNoUnsure

Where would the cat live?*

IndoorsOutdoorsIndoor/outdoorRestricted areas indoors

Employer *

Occupation*

Do you work from home or do you work outside of the home?*

I work from home full-time.I work outside of the home full-time.I work from home and work from outside the home.

How many hours will your cat be alone during the day?*

Does your budget allow for the cost of maintaining a vet and can you cope with vet expenses?*

Are you expecting any major life changes in the next few months? This includes starting a family, adopting a dog, moving, traveling long term, a relative moving in, etc. If yes, please explain:*

When you travel, who will care for the cat while you are gone?*

If you were to move from your current home, what would you do with your pet(s)?*

Are you prepared to accept the habits and lifestyles of cats, such as jumping on furniture, scratching, etc? *

Are you planning on declawing?*

YesNoUnsure

Please provide the NAME and PHONE NUMBER for TWO personal references.** Your references CANNOT BE FAMILY MEMBERS and they should be people who have been to your home.*

If this animal will be your first pet, please provide the name of the veterinary office that you plan to use in the future.

It may take your new kitty two weeks or two months to adjust to its new home, become fully comfortable and really show their personality. Are you prepared to allow this time to decompress if needed?*

YesNo

I hereby agree the above information is true and I authorize North Bergen Purr to contact those references listed above. I understand that the completion of this form is the first step in the adoption process and does not guarantee an adoption. North Bergen Purr reserves the right to make an in-home screening visit and to deliver the cat(s), if an adoption takes place, to ensure that I will provide a hazard-free home. If at any time and for any reason I cannot keep the animal I agree to return it to North Bergen Purr. I agree to pay the adoption fee via CASH or ZELLE on the day of the adoption.*

YesNo

Signature*

Adoption Application Form

Applicant Details