Kitten Adoption Application

APPLICANT INFORMATION

APPLICANTS MUST BE 18 OR OLDER.

Adoption Applicant(s) *

Address *

Address Line 1

City

State / Province / Region

Please include all of Street Address, City, Province and Postal Code.

Phone Number(s) *

Please provide the best phone number to reach you as well as an additional phone number (if applicable).

Email *

Employment Status *

Employed
Student
Retired
Other

KITTEN INFORMATION

What kitten are you interested in adopting?

Name, Age and Color(s) of Kitten(s) *

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? *

Do you own or rent your home? *

Own
Rent

Please provide landlord’s full name & phone number: *

How long have you been at your current address? *

Do you have children at home? If so, what are their ages? *

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? *

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. *

Please provide the name & 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 Full Name & Phone Number *

Reference 2 Full Name & Phone Number *

REGARDING THE KITTEN

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

Yes
N/A

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 inform the society when spay/neuter has been completed for this kitten and a copy of the certificate forwarded to the society in order to receive my/our rebate. *

I/We Agree

I/We agree to have this kitten altered (spayed/neutered) at the age of five to six months, unless advised otherwise by a veterinarian due to medical concern. *

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

Applicant Signature(s) *

Please provide the signature(s) for all applicants.

Date *

The information provided in this document is confidential and will only be shared with the adoption applicant’s consent.

PDCT OFFICE USE ONLY

PDCT Representative Signature

Date