EmailMe Form - Nobody's Perfekt Cats Adoption Application

Nobody's Perfekt Cats Adoption Application

We are here to help match you with a cat who will be your lifelong companion. By submitting this application, you give Nobody’s Perfekt Dogs & Cats permission to investigate and confirm any information you have provided. Our goal is to insure the welfare of the animal by placement in the best possible home.

Please note our adoption requirements:

* You must be 18 years or older to adopt and have proper ID

* Renters: we check with the landlord regarding the pet policy

* We do a home check before approving any application

* In most cases, we require approved applicants to take the pet on a “sleepover” for a few days before deciding to adopt

* We don’t adopt our younger pets to senior households

* We reserve the right to deny any adoption application for any reason.

Unique ID
For which cat/kitten(s) are you applying? *
If the cat/kitten you are applying for ends up not being a good fit for your situation, would you consider another Nobody's Perfekt cat/kitten that may be a better fit?
Yes
No
Why are you interested in this cat/kitten? *
Applicant Information
Applicant Name *
First Last
Applicant Email *
Applicant Cell Phone *
### - ### - ####
2nd Applicant Information (optional)
First Last
(Spouse, partner, other adult in the household, if you want to include this information)
2nd Applicant Email (optional)
2nd Applicant Cell Phone (optional)
### - ### - ####
Street Address *
City *
Zip Code *
Home Phone
### - ### - ####
How did you hear about Nobody's Perkekt Dogs and Cats? *
Adoption Center
Our website
Our Facebook page
Referral from a friend
Adopt-a-Pet.com
PetSmart.com
PetSmart adoption event
Pet Food Express adoption event
Petco adoption event
Other
Type of home: *
House
Condo
Apartment
Mobile Home
Other
Own or rent? *
Rent
Own
Live with parents/relatives
Other
If you rent, do you have your landlord's permission to have a pet (or another pet)? *
Yes
No
Not Applicable
We will need to confirm the pet policies with your landlord before the application is approved.
Landlord's name and phone # (if applicable).
Apartment Complex Name (if applicable)
How long have you lived at your current address? *
Years / months
Do you plan on moving? *
No
In 6 months
In 1 year
Other
If you do move, what will happen with your animals?
Number of adults in the household *
Does this home qualify for our "Seniors for Seniors" program? *
Yes
No
We try and place our senior cats in senior homes (over the age of 70). Nobody's Perfekt Dogs and Cats will support the cat's vet expenses for the remainder of the cat's life.
Number of children in the household and their ages..
NOTE: Some cats may not be suitable for homes with young children.
Are you planning on having children in the future? *
No
Yes
Other
Who will ultimately be responsible for the care of the cat? *
Does anyone in the household currently have or had allergies and/or asthma? *
Yes
No
Does everyone in the household agree to adopting a cat/kitten? *
Yes
No
Will this cat/kitten be a gift or surprise for someone else? *
Yes
No
What is your level experience with cats/kittens? *
Is this your first cat or kitten? Have you had troubles in the past with cats?
What is your reason for wanting to adopt a cat/kitten? *
Companionship
Save a cat's life
Playmate for another animal
Teach children responsibility
Pest Control
Other
Check all that apply
Have you ever relinquished a pet to an animal shelter, rescue group or someone else? If yes, please explain the circumstances. *

Please list all animals currently living in the house:

	Type (dog, cat, bird, etc))	Name	Gender (Male, Female)	Fixed? (Yes, No)	Weight (lbs)	Age	Breed
Animal 1
Animal 2
Animal 3
Animal 4
Animal 5
Animal 6
Animal 7
Animal 8
Animal 9
Animal 10

Any health or behavioral issues with existing pets?
What will your family do to help the cat adjust to its new home, new family and other pets in the household? *
How much time will allow the cat to adjust? *
A day? A few days? A week? etc.
How many hours a day will the cat be left alone? *
What will you do with the cat if you plan on being gone for a few days? *
Hire a catsitter? Leave with friends? Boarding facility? Etc.
Where will the cat spend its time? *
Indoors Only
Indoor / Outdoor
Outdoors Only
Indoor at night / Outdoor during day
Other
Please note that cats allowed to roam freely outdoors have a much lower life expectancy. They risk being killed by vehicles, predators, poisoning, or caught in wildlife and feral feline traps. They suffer many more preventable health issues. NPD&C strongly recommends that your new cat be indoor only, or provided with a secure, escape-proof outdoor structure.
Are you aware that if your cat is on another person's property, they have the legal right to trap it? *
Yes
No
How many litter boxes will you have and where will they be placed? *
What behaviors are you NOT willing to work with?
Excessive meowing
Shyness
Not good with cats / other animals
Not good with children
Scratching furniture
Biting / Scratching
Not using the litter box
Other
Will you declaw the cat? *
Yes
No
Do you currently have a vet and if so, what is the name of the clinic or vet? *
What are your anticipated vet costs per year? *
Are you considering pet insurance? *
Yes
No
Not sure
How often should your cat visit a veterinarian? *
2-3 times a year? Once a year? Once every 2 years? etc.
Have any of your current pets been diagnosed with an infectious disease or other conditions?
Such as heartworm, distemper, parvo, bordetella, etc.
Do your pets currently use flea/tick protection? *
No other pets
No
Yes (What kind?)
What will you do if your cat becomes seriously ill? *
Take it to the vet
Wait a couple days to see if it gets better
Relinquish it to a animal shelter
Other
What is your plan for when the cat nears the end of its life? *
Love and care for the cat until it is time to say goodbye
Give the cat back to Nobody's Perfekt Dogs & Cats
Take the cat to a shelter
Let the cat loose on the streets
I plan on the cat outliving me
Other
Indoor, healthy cats can live 18+ years.
What type of cat food are you considering? *
Canned
Dry
Homemade
Vegan diet
Table scraps
Rodents / live fish
Other
Check all that apply.
Any other information that you wish to share regarding your application to adopt a cat?
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND THAT ANY FALSE INFORMATION MAY RESULT IN DENAIL OF THE APPLICATION. *
Yes
Name *
Print Full Name
Date *
MM / DD / YYYY

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Applicant Information