Adoption Form.Please tell us about yourself Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Primary Phone * (###) ### #### Secondary Phone (###) ### #### Email * Adoption Info Name of Cat You Are Applying For? If you don't have one in mind, Please specify if you are looking for an Adult or Kitten. Who Are You Adopting This Cat For? Do You Have Children? No Yes (1 Child) Yes (2 Children) Yes (3 Children) Yes (4+ Children) If Yes, What Ages Are Your Children How Many Hours Are You Home On The Average Day? Does Anyone in Your Household Have Allergies To Animals? No Yes What Type of Home do You Live in? House Apartment Condo Trailer Townhouse Do You Rent or Own? Rent Own If rent, Please Provide Landlord's Name and Phone Number: Which Best Describes Your Household on a Daily Basis? Active Noisy Quiet Average Where Will Your Cat Be Kept? * Indoors Only Outdoors Only Both What Will You Do With Your Cat When You Go On Holidays? Do You Intend To Declaw Your Cat? * Yes No Under What Circumstances Would You Need To Surrender Your Cat? (Check All That Apply) Moving New Baby Divorce New Relationship High Cost Of Care Allergies Vacation Claw Furniture Illness In Cat Poor Mouser Other Have You Ever Surrendered An Animal To The SPCA Or Other Organization In The Past? If yes, Please Indicate Reason: If You Are Not Employed, What Income Do You Have To Ensure The Animal Will Be Adequately Fed & Cared For? Current Pets Pet 1 Type Of Pet Cat Dog Other Vaccination Current? (If Applicable) Yes No Spayed/Neutered? Yes No Pet 2 Type Of Pet Cat Dog Other Vaccinations Current? (If Applicable) Yes No Spayed/Neutered? Yes No Pet 3 Type Of Pet Cat Dog Other Vaccinations Current? (If Applicable) Yes No Spayed/Neutered? Yes No Pet 4 Type Of Pet Cat Dog Other Vaccinations Current? (If Applicable) Yes No Spayed/Neutered? Yes No Other Information Does Everyone In Your Household Agree With Your Decision To Adopt A Cat? Yes No How Did You Hear About Us? Any Other Reasons You Feel Would Make You A Prime Candidate For Adopting An Animal Through Purrfect Companions? I certify that all of the above information is true and accurate. I understand that if I adopt a cat from Purrfect Companions, this document will become part of the adoption record. I understand that Purrfect Companions of Norfork Group reserves the right to refuse any application for any reason. * I Agree Thank you!Your application has been sent and will be reviewed by a volunteer within 5-days!Please check your spam folder for replies as some email services are putting us in there. IMPORTANT !!!!!!!! READ BELOW !!!!!!!! IMPORTANT !!!!!!!! READ BELOW !!!!!!!! IMPORTANT !!!!!!!! READ BELOW !!!!!!!! NOTE: IF YOU DO NOT RECEIVE AN EMAIL BACK FROM US WITHIN 5 DAYS, PLEASE CHECK YOUR SPAM/TRASH FOLDER.
