Purring Hearts VA Cat Adoption Application

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PurringHeartsVA is a division of Lionhearts, Inc.

Email *

First and Last Name *

Full Home Address *

Home Phone *

Cell Phone *

PurringHearts VA Cat Name (if a cat has been chosen prior to application)

If you are unsure of the specific pet you would like to adopt please state what type of cat you are looking for...(age, sex, breed, personality...etc.)

Drivers License Number *

Date of birth *

YYYY

Why are you interested in adopting a pet at this time, and why are you interested in this pet in particular? *

Current veterinarian name and phone number: *

If you do not have a current veterinarian, please initial below that you understand a veterinarian will need to be secured prior to the completion of your application. *

Have you owned pets before? *

Yes

Have you given away or re-homed any pets? *

Yes

Are your pets still with you? *

Yes

Please list all the animals currently living in your home: *

Please provide more information about your pets: species, breed, age, how long you have had them, whether they are cat-friendly, etc.: *

Are all your pets spayed/neutered? *

Yes

N/A

If your pets have not been spayed/neutered, please tell us why.

How do you plan to introduce the cat to your household and other animals? *

Does your neighborhood, HOA or rental agency have any pet restrictions? *

Yes

Do you have a homeowner's association? *

Yes

Do you rent or own your home? *

Own

Rent

Live with family/friend

If you rent, have you received your landlord's approval to have this pet?

Yes

Clear selection

Your landlord's name and phone number (if you rent):

In what type of home do you live? *

Single Family

Townhouse

Condominium

Apartment

Military Housing

Other:

Will this animal be kept inside or outside? *

Inside

Outside

Inside/Outside

What will you do with your pets if you have to move? *

Does anyone living in your home have pet allergies? *

Yes

Do you have kids in your home? If yes, what are their ages? *

If you have children, please explain their past experience with pets.

How would you classify your home dynamic? *

Calm and quiet

Active but calm

Active and loud often

Active and loud occasionally

What do you think would be reasonable cause for you to surrender a pet? *

Do you plan to declaw your cat? *

Yes

Maybe

Please list all residents of your home and their relationship to you. For all of those residents over 18, please provide their NAME, DOB and driver's license state/number. *

Please tell us about your family, job(s), hobbies, activity level, etc. *

What brand of food are you currently feeding your pets? Would you be willing to change? *

How much time will your pet typically spend alone during the day? *

Where will your pet sleep? *

Where will your pet be kept when you are home? *

Some rescued pets require time to adjust to a new family and home lifestyle. Are you willing to give your pet a substantial amount of time to adjust to this new life? *

Yes

Please provide at least one non-family reference (include their contact phone number and/or email address) *

How did you find our application and become aware of our rescue? *

Do you fully understand that the cats we have listed are rescue cats with limited information? *

Yes

Please type initials to indicate you understand if the adopter cannot keep the adopted animal, the ANIMAL MUST BE RETURNED TO PURRING HEARTS VA. *

Please type full name below that you have read the above questions, understood them, and completed this application to the best of your knowledge and ability. *

Today's date:

YYYY

Submit

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