Adoption Application Form
How did you hear about North Bergen Purr?
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Facebook
Instagram
Nextdoor
PetFinder
Adoption Event
Another rescue
North Bergen Purr website
North Bergen Purr volunteer
Which cat(s) are you interested in applying for?
*
Gender preference
*
Male
Female
It does not matter
Why are you interested in adopting?
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companion for myself/my family
companion for another pet
a mouser
Other
Applicant Details
Name of Applicant
*
First Name
Last Name
Name of Co-Applicant (Required if spouse/parter/etc.)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Birthdate
*
-
Month
-
Day
Year
Applicants must be atleast 21 years old
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list the NAME and AGE of all people that currently live in your home
*
Is anyone in the home allergic to cats that you are aware of?
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Yes
No
Do you work outside of the home?
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Yes
No
I work from home and work from outside the home.
How many hours will your cat be alone during the day?
*
Employer
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you expecting any major life changes in the next few months (starting a family, adopting a dog, moving, traveling long term, a relative moving in, etc.) If yes, please explain:
*
Do you rent or own a home?
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Rent
Own
If you rent please provide landlord name & phone number:
If you were to move from your current home, what would you do with your pets?
*
Are you prepared to accept the habits and lifestyles of cats, such as jumping on furniture, scratching, etc?
*
Are you planning on declawing?
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yes
no
unsure
Where would the animal live?
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outdoors
indoors
indoor/outdoor
restricted areas indoors
Do you have screens on your windows?
*
yes
no
Have you had pets before?
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yes
no
Where are those pets now?
Have you ever surrendered, re-homed, gave away, sold or abandoned a pet?
*
yes
no
If you answered yes, please explain the situation. If you've never surrendered a pet, please write N/A in the box
*
Please list ALL of the animals CURRENTLY living in your household. Please tell us where you got them (if from a rescue, please list what rescue you got them from) and also include the pet's name, age, breed, sex, spay/neuter status, FIV/FELV status [for cats only] and where you got them from.
*
If you currently own a pet, do you have pet insurance?
yes
no
I do not currently own a pet
If you have personally owned animals before, please provide your veterinary reference: Provide Name, Address, Phone Number. PLEASE CALL AND GIVE THEM PERMISSION TO TALK WITH US!
If this animal will be your first pet, please provide the name, address and phone number of the veterinarian you plan to use in the future. (If you do not have one yet or are not sure, please say so and we can help you find one).
Please provide TWO personal references. We need their NAME and PHONE NUMBER. ** Your references CANNOT BE FAMILY MEMBERS and they should be people who have been to your home.
*
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?
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Yes
No
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, check, or zelle on the day of the adoption.
*
Yes
No
Signature
*
Submit
Submit
Should be Empty: