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ADOPTION APPLICATION
Purrfect Cat Rescue
31 N. Rt 31
Crystal Lake, IL 60012
815-900-8221
Email address *
IS THERE A CAT OR KITTEN YOU ARE INTERESTED IN? IF YES, WHO?
Your answer
DATE:
MM
/
DD
/
YYYY
NAME:
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STREET ADDRESS:
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CITY/STATE/ZIP:
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COUNTY:
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I AM A:
PREVIOUS ADDRESS:
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HOME PHONE NUMBER:
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CELL NUMBER:
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EMPLOYER:
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WORK NUMBER:
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NUMBER OF ADULTS IN HOUSE:
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CHILDREN & AGES:
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WHAT PETS DID YOU HAVE IN THE PAST?
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WHAT HAPPENED TO THEM?
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CURRENT PETS?
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ARE YOUR PETS CURRENT ON VACCINATIONS?
HAVE YOU EVER ADOPTED FROM US BEFORE? IF SO, WHEN?
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WHY ARE YOU INTERESTED IN ADOPTING A PET TODAY?
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WHO WILL BE THE CARETAKER?
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HOW WILL YOU HANDLE LITTER BOX TRAINING?
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HOW WILL YOU ADDRESS BEHAVIORAL ISSUES THAT ARISE?
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HOW WILL YOU INTRODUCE THIS NEW PET TO OTHER PETS AT HOME?
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IF YOU BECOME UNABLE TO CARE FOR THIS PET, WHAT WOULD YOU DO?
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WHO IS YOUR VETERINARIAN?
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NAME & PHONE NUMBER OF A PERSONAL REFERENCE?
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Adoption applications are kept on file for one year following approval. If you are a tenant, you must provide a copy of the lease agreement showing that you have permission to keep a pet on the property before completing an adoption. You may need to give your veterinarian consent for us to conduct a pet reference check on you.
I certify that I am at least 18 years of age, and that I have sufficient economic resources to pay for the costs associated with keeping an animal. I authorize Purrfect Cat Rescue to verify any statement I have made in this application. I also understand that Purrfect Cat Rescue has the right to deny my application. By typing my name and date below, I acknowledge the information I have provided is true.
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Driver's License/State ID#
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