PPCR Adoption Application

Are you 18 or older? *

Date: *

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code *

Phone Number *

Email Address *

Alternate Phone Number

Alert Messages

Notice! We cannot adopt this cat(s) if you are not 18 or over. Please see your adoption coordinator.

Name of the cat you are interested in adopting: *

Interested in adopting a second cat?

Second animal

Reason for Adoption:

If other:

Do you currently own any pets?

What kind and how many of each?

Are your pets current on their vaccinations?

Are all of your pets spayed/neutered/fixed?

If no, why?

Will your new cat(s) be kept current on vaccinations?

Veterinarian's Name (Please include clinic name):

Do you agree to take your new cat(s) for a preventative care visit at least once a year regardless of expense or time constraints? *

Notice! We cannot adopt this cat(s) if you are not willing to provide annual preventive care. Please see your adoption coordinator.

Please name the person(s) responsible for the daily care of the pet(s):

Where do your current pet(s) live?

Where will your new cat(s) live?

On average, how many hours per day will your new cat be unsupervised? *

Cats can live over 15 years, are you willing to assume responsibility for that long? *

Have you ever had a cat declawed?

Do you plan on declawing your new cat(s)? *

Notice! We cannot adopt this cat(s) if you are planning to declaw him/her. Please see your adoption coordinator.

How will you handle any scratching or destructive behavior? *

Does anyone in your household have allergies to dogs/cats?

If requested, will you allow an authorized PPCR representative to visit your home by appointment only?

Do you agree to notify us if the cats(s) develop any illness or health problems within one week of the adoption?

If you are unable to keep the cat(s) for any reason, do you agree to return them to us?

By signing here, I attest that these answers are truthful:

Signature; *