Persian/Exotic Adoption Application

Persian/Exotic Adoption Application
Animal Information
Which cat(s) are you interested in adopting?*
Why do you want a cat? (Check all that apply)*

CompanionCompanion for another animalPet for child/giftEmotional Support animalOther
Name*

LEGAL First NameLEGAL Last Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Spouse/Partner Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Spouse/Partner Name

LEGAL First NameLEGAL Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Name of Employer*
Employer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Living Situation
Do you own or rent?*

OwnRent
Do you have roommates?*

YesNo
Do you live with your parents*

YesNo
What are your requirements to have a pet? *
Deposits, restricted breeds, limit on number, etc.
Landlord Name/Management Company*
Landlord Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Length of time at this address*
Time at previous address*
When do you anticipate your next move*
What will you do with your animals when you move*
Describe any events/circumstances that would prevent you from keeping the pet?*

List all people living in the home INCLUDING YOURSELF (whether full-time or part-time).*

Rows	Name(First, Last)	Age	Relationship
1.
2.
3.
4.
5.

Are all adults that reside at this dwelling aware that a pet is being adopted into the household?*

YesNo

List all pets living in the home.

Rows	Type of Pet	Breed	Name	Age	Spayed/Neutered	Current on Flea Prevention	Current on Heart Worm Prevention	Current on Vaccines
1.
2.
3.
4.
5.

Animal Care/Experience
Have you ever owned a Persian/Exotic Short/Long hair?*

YesNo
Current age of that cat or age when passed*
If that cat passed, what was the cause? What treatments did you seek?
Please list additional pets owned within the last 10 years and where they are now. If you have ever brought an animal to the shelter, please explain,
Are you aware of the potential health or breathing issues of flat-faced cats?*

YesNo
Are you prepared for the potential yearly expense ($1,000+) of vet and grooming care?*

YesNo
Are you prepared to keep the pet for its entire life, potentially 15-20 years*

YesNo
Do you have a current Veterinarian?*

YesNo
Current or Previous Veterinarian*
Veterinarian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Do you have a current groomer?*

YesNo
Current Groomer*
Groomer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Groomer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Lion cuts are highly discouraged for these cat breeds. Do you agree to NEVER have the cat shaved to less than one inch (1”) of its skin, unless medically necessary or for sani-cut trims?*

YesNo
Are you prepared to groom the cat on a regular basis, at home (brush/comb/wipe eyes*

YesNo
Will the pet have run of the home*

YesNo
If not, where is it not allowed?*
How many hours a day will pet be alone? Type a label
Where will the pet be while alone?   Type a label
How many vacations do you usually take in a year?   Type a label
Who will care for the pet while you're away?   Type a label

Personal References (NOT FAMILY MEMBERS!!!). Please let the people know to expect a phone call from a 407 area code.*

Rows	Name(First and Last)	YearsKnown?	Phone Number	Relationship
1.
2.
3.

By signing below, I certify all information is true and correct to the best of my knowledge.
Date

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Persian/Exotic Adoption Application

Animal Information

Living Situation

Animal Care/Experience