Purrfect Kitty Mission
Adoption Application
Applicant information
Which cat/kitten are you interested in? Would you like to meet all of them?
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.
Format: (000) 000-0000.
Employer Name
Household information
Are all members of your household in agreement with this adoption?
Who will be the Pets primary caregiver?
Do you live in a
House
Apartment
Mobile Home
Other
Do you Rent or Own?
Rent
Own
Other
Does your landlord allow cats? If asked, are you willing to provide proof?
Yes
No
What is your annual income?
Are there any restrictions from your landlord or subdivision?
Yes
No
How many adults are in your household?
How many children are in your household?
If there are children what are their ages?
Have your children been around animals before?
Yes
No
Does anyone in your home have allergies to cats?
Yes
No
Current/Previous Pet History
List any pets you own or have owned in the past five years and their ages
How many of these pets are spayed and neutered/up to date on vaccines? We would need proof prior to adoption.
Where are they now?
Have you ever adopted from an animal rescue before?
Yes
No
if yes where?
Have you ever given up a pet?
Yes
No
If yes why?
Please provide the name and phone number of your current and/or previous veterinary or clinic
New Pet Information
What type of personality do you want your pet to have? examples are: calm, energetic, protective, couch potato
How many hours each day will your new pet be home alone?
Where will your new pets sleep at night?
What length of time will you allow your new pet to adjust to his/her new home?
Are you willing to work through your new pets issues if any?
Yes
No
Are you aware that the new environment is stressful for a pet and they might exhibit uncharacteristic behavior?
Yes
No
Do you understand that a cat can be an 18-year-old commitment and can cost $300 to $500 per year to care for?
No
Yes
What circumstances would lead you to give up your new cat?
If you had to give up your cat what would you do with him/her?
How did you find out about Purrfect Kitty Mission Rescue?
Facebook
Pet Finder
Craigslist
Family and friends
Adoption event
Other website
Other
I understand that I assume full responsibility for the welfare of this pet from the adoption date.
Yes
No
PKM strives to adopt out only healthy cats/kitten that are ready for adoption ONLY. Please keep in mind that a change in environment can cause a stress to a new cat/kitten and can lead to mild illness occasionally (ex., sleeping more, allergies to new environment leading to minor eye issues) do you understand that changes in environment can be stressful sometimes for a new cat/kitten?
Reference Name and phone number
Are you willing to let PKM do a tour of your home or send a video of your home/environment Kitty will be in? Kittens and cats will only be adopted to people with full CLEAN apartments or homes no rooms.
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Please keep in mind more follow up questions may be asked and pictures or videos may be required of the environment the cat/kitten will be. Thanks for choosing Purrfect Kitty Mission!
if all questions are not completed. Your application will automatically be denied is this application fully completed?
Submit
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