*Pet interested in:
*Your First and Last Name:
*Email Address:
*Your Date of Birth:
*Street Address:
*City and Zip Code:
Home Phone Number:
Cell Number:
*Preferred contact method:
*Other members of the household (names, ages, relationship):
*Why are you interested in adopting a cat/kitten?:
*What characteristics are important to you in a pet?:
*Where will this pet be primarily kept?
*Do you own or rent your current residence?
If you rent, what is the property owner's name and phone number?:
Do you have any current pets? If so, please include type, breed, sex, age:
If applicable, are all current pets spayed/neutered and current on rabies and vaccinations? (Please specify):
Other than current pets listed above, please list previous pets (breed, gender, reason they are no longer with you):
Have you ever given an animal up for adoption or given an animal away? If so, please specify reason.:
*Please list your current veterinarian and their phone number :
*Do you give Purrs & Piddy-Paws permission to contact your veterinarian?
Any additional comments you would like to add:

Please also send us a short email (purrs.piddypaws@gmail.com) to let us know you've completed the application. We occasionally have technical difficulties in the applications reaching our email. Thank you!

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