Adoption Questionare
Thank you for considering adopting a homeless cat from our shelter. The following information is requested, so we can assist in making the best choice for you and your family and for the cat you are considering adopting. Our goal is to place animals in loving homes with compassionate people who will make a lifelong commitment to them by accepting them as a member of their family. This is often a 10-20 year commitment. Our adoption process is designed to determine the best possible match between the cat and the lifestyle of the adopter(s).

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I would like to adopt the following cat(s):
CONTACT INFORMATION
  Name:

Address:

City, State, Zip:
Day Phone: Evening Phone:

Best time to reach you:  
Email:  
Your current residence is a ? 
Do you Own/Rent?  
How long have you lived there?  
If renting landlord’s name:     Phone: 
How many adults live in your home?  
How many children?  Ages: 
Does anyone in the household have allergies?  
How many pets have you owned in the past 5 years?
Cats:    Dogs:    Other: 

Please list (including current pets first):

Pet’s Name, Type, M/F, Altered, Age. Do you still have the pet or what happened to it?
Please list your reason(s) for wanting to adopt a cat:
Who is your veterinarian?     Phone:  

Other references:
  1.    Phone: 
  2.    Phone: 
  3.    Phone: 

Additional comments:


What is your cat experience?  
How much time are you at home?  
Our cat will live:  
If cat will be going outside, will it be supervised when outside?  
What is the noise/activity level in your household?  
Do you prefer long hair?  
What gender of cat are you looking for?  
What age are you looking for?  
What size cat are you looking for (when adult)?  
What temperament/activity level are you looking for in a cat?  
Give an explaination if you so desire:

Do you like to brush and groom your cat?  
If you don’t have children, do neighbor children or grandchildren visit often?  
Who will be primarily responsible for this cat?  
What are you looking for in a cat?  
Please give an explaination if you so desire:

Are you looking for a declawed cat?  
If not, do you plan to have this cat declawed?  
Please list any bad kitty habits that you just cannot tolerate:
Please describe your ideal cat:

If you already have a cat in mind, what attracted you to that particular cat?

Under what circumstances would you not keep this cat?

Pet Rescue Mission has made a lifelong commitment to all of the cats that enter our care. If for any reason, changes occur that require you to relinquish this cat, please contact us immediately. We will take the cat back into our care.

Are there any topics you would like to discuss with us?
Indoor vs. Outdoor      Litterbox issues      Declawing      Introduction to other pets  
Grooming      Scratching furniture      Cats with kids      Other  
Please explain other:
Thank you for your time and honesty in filling out this application. This information will help us make the best match for the cat, you and your family. We want you and the animal we place in your home to form a loving and lasting relationship.


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