Adoption Form for Senior Cat

Fill in your information below, or click here for a printable version of this form.

Pet Applying for:

Applicant's Personal Information:

(Applicants must be 18 years old or older)


Retired
Employed
Student
Other

Family Information:


Yes
No

Rent
Own

Yes
No

Yes
No

Yes
No

Yes
No

Regarding the Cat:


Yes
No

Yes
No

4 hours or less
4-8 hours
8 hours or more

Yes
No

Yes
No

Yes
No

Adoption Terms:

I/We agree to give Persian Dreams and Canine Themes Rescue Society authorization to any veterinary records regarding previously/currently owned pets as provided by our veterinarian.


Yes
No

I/We agree to have a home check done prior to taking our new companion home and a post home check and/or phone calls to see how the cat has adjusted.


Yes
No

I/We agree to pay the $100.00 adoption fee and understand that it is non-refundable.


Yes
No

I/We will produce a City license tag and appropriate carrier upon picking up our cat.


Yes
No

I/We agree to cover any new, intermittent or ongoing medical expenses that may arise with this cat.


Yes
No

I/We understand that Persian Dreams and Canine Themes cannot be held responsible for any health, temperament or training issues and hereby release them of any liability.


Yes
No

I/We agree that under no circumstances will we have any declawing or tendonectomy procedures performed on this cat at any time.


Yes
No

I/We agree that if for any reason we are no longer able to keep this cat we will return it to Persian Dreams and Canine Themes Rescue Society.


Yes
No

I/We agree to the above statements and believe that all the information we have given on this application is complete and correct.


Yes
No

The information provided on this document is confidential and will only be shared with the adopter’s consent.