Adult Cat Adoption Application

APPLICANT INFORMATION

APPLICANTS MUST BE 18 OR OLDER.

Adoption Applicant(s) *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone Number *

Additional Phone (if applicable) *

Email *

Employment Status *

Employed
Student
Retired
Other

CAT INFORMATION

What cat are you interested in adopting?

Cat Name, Age, Colors *

FAMILY INFORMATION

Please tell us about you and your family.

Does anyone in your home have pet allergies? *

Yes
No

If yes, what is the guarantee this animal will stay with the family and not be returned because of the health reasons? *

What type of home do you reside in? *

House
Condo
Duplex
Apartment

Do you own or rent your home? *

Own
Rent

Please provide Landlord’s Name AND Phone Number: *

How long have you been at your current address? *

Do you have children at home? *

Yes
No

What are the ages of your children? *

Are the children accustomed to and educated about animals? *

Yes
No

For what purpose and for whom are you adopting the cat? *

Have you ever owned a cat before? *

Yes
No

If yes, how long did you have it and if you no longer have it, what happened to it? Include name, age, breed, gender, if they were spayed/neutered and if their vaccines were maintained. *

Do you presently own any other animals? *

Yes
No

Please specify present animals in your home, including name, age, breed, gender, if they are spayed/neutered and if their vaccines are up to date. *

Have you ever owned any other animals in the past? *

Yes
No

If yes, what did you have, how long did you have it and if you no longer have it, what happened to it? Include name, age, breed, gender, if they were spayed/neutered and if their vaccines were maintained. *

Please provide the Name AND Phone Number of the Veterinary Clinic your animal(s) attend, did attend or will attend. *

What will you do with this cat if you move? *

REFERENCES

Please provide the name and phone number of two (NON-FAMILY) references that are aware of you and/or your families’ interaction with pets (ie: vet, neighbour or friends):

Reference 1 Name AND Phone Number: *

Reference 2 Name AND Phone Number: *

REGARDING THE CAT

Are you willing to give this cat at least 1 month to be accepted by your current pets and vice versa? *

Yes

PDCT requires this cat to be kept as an indoor only pet. Are you willing to make this commitment? *

Yes

How much time are you able to spend with this cat per day? *

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

Where will the cat be kept when you are not home? *

Under what circumstances would you be likely to give up this cat? *

If the cat showed behavioral problems what would you do to correct this? (ie: biting, clawing, potty accidents) *

Would you be willing to contact Persian Dreams & Canine Themes Rescue Society for advice and suggestions to help you and your cat to be successful if there are behaviour concerns? *

I/We would be willing to contact PDCT for advice.

Are you aware that the average adult cat costs approximately $500 per year to maintain vaccinations quality food and a few toys? *

I/We are aware of the costs.

Are you comfortable with this financial commitment? *

I/We are comfortable with the financial commitment.

ADOPTION TERMS

Please read and agree to the following adoption terms:

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

I/We Agree

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. *

I/We Agree

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

I/We Agree

I/We will produce an appropriate carrier upon picking up our cat. *

I/We Agree

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

I/We Agree

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

I/We Understand

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

I/We Agree

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

I/We Agree

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

I/We Agree

ADOPTION TERMS ACCEPTANCE

Adoption Applicant(s) Signature(s) *

Date *