Own Rent
If you rent, does your landlord approve of indoor pets?
Yes No Unsure Not Applicable
List all members in your household, their relationship to you and ages. Please include your age as well.
Does anyone in the household have allergies to cats?
Yes No
Do you currently have any other pets now?
Yes No
If yes, please list species, breed and
ages. How do they get along with other animals?
Have you owned a Persian or Siamese Cat before?
Yes No
What other pets have you owned in the past? What happened to them?
Are all other pets in your household spayed/neutered and current on all vaccinations? If not, please explain.
Why do you want to adopt a "rescued" cat?
Where will this cat live?
Inside Only Outside Only Indoors/Outdoors
Have you ever adopted an animal from a shelter before?
Yes No
If "Yes", do you still have this pet?
Yes No
Have you ever turned an animal into a shelter?
If so, why? Have you even given away a pet? Please explain.
Do you have any de-clawed cats in your household?
Yes No
How do you feel about declawing? Do you plan to declaw this cat?
If you move, what will happen to this cat? Please be specific.
Under what circumstances would you give up your pet? (example: Litterbox issues, biting, scratching furniture, etc)
Are you prepared to take care of a cat for the next 10 to 15 years?
Yes No Unsure
If you adopt a cat from the Atlanta Persian & Siamese Rescue and it becomes ill, will you:
Return the cat?
Take the cat to a Veterinarian
yourself for treatment?
Other (specify below).
What breed are you looking to adopt? Color, age, temperament? Name any specific cats you are interested in.
.
Please provide the name and phone number of your Veterinarian.
Name:
Phone:
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