Cat Rescue Form

If you have questions you can email us at adoptions@atlantacatadoption.org

ATLANTA PERSIAN & SIAMESE RESCUE
Cat Placement Application
Please complete and send to us by clicking the submit button.

From the moment your cat enters our shelter, it will be treated more like a guest than a homeless animal. Our cats receive the best medical care, are beautifully groomed, eat only premium quality food, and enjoy a beautifully furnished and comfortable environment and of course, are given lots of love! Because we receive no funding whatsoever we must rely heavily on donations which allow Atlanta Persian and Siamese Rescue to properly care for all cats in our care.

UPON ACCEPTING YOUR CAT INTO OUR INTO OUR RESCUE PROGRAM, WE REQUIRE A DONATION. IN MOST CASES, THE MINIMUM DONATION AMOUNT IS $100 IF YOU CAN PROVIDE VET RECORDS SHOWING THAT YOUR CAT IS SPAYED/NEUTERED, FELV/FIV NEGATIVE, UP TO DATE ON ALL VACCINATIONS AND IN GOOD OVERALL HEALTH. OTHERWISE, THE REQUIRED DONATION AMOUNT WILL BE GREATER. THE DONATION WILL BE USED FOR GENERAL, VETERINARIAN, AND POSSIBLE LONG-TERM CARE OF YOUR CAT.

Please complete all information below as thoroughly as possible. By doing so, you will help us to better assess your cat so that we may match it with the proper potential adopter.


I. GENERAL INFORMATION:
Your Name:
Address:
City, State, Zip:
Home Phone:
Work Phone:
Email Address:

Cat Name:

Sex: Male     Female   Spayed/Neutered: Yes     No
Declawed: Yes     No
Breed (if mix, please indicate what the mix might be):
Color:
Birthdate or Age of Cat:
Age at Adoption/Purchase:
Weight of Cat:
Where did you originally get your Cat? Breeder   Shelter/Rescue Group
Friend/Family   Pet Store   Kennel   Found/Stray  

How did you find ACA/APSR?:



II. SPECIFIC INFORMATION: The more we know about your Cat, the better job we can do of finding the best possible home for it. Please answer the following questions as completely as possible.

Current family includes (please give childrens ages):



Do you have other animals? (type, gender, age):




Does your Cat like:

Water: Doesn't   Somewhat   Tolerates   Likes   Loves  

Dogs: Doesn't   Somewhat   Tolerates   Likes   Loves  

Cats: Doesn't   Somewhat   Tolerates   Likes   Loves  

Children: Doesn't   Somewhat   Tolerates   Likes   Loves  

Baths: Doesn't   Somewhat   Tolerates   Likes   Loves  

Car Rides: Doesn't   Somewhat   Tolerates   Likes   Loves  

Being Brushed: Doesn't   Somewhat   Tolerates   Likes   Loves  

Strangers: Doesn't   Somewhat   Tolerates   Likes   Loves  

Elaboration on Likes/Dislikes:


Does your cat use its litter box:
100% of the time
75-99% of the time
50-74% of the time
Less than 50% of the time

Your Household activity level:
Queit   Active   Very Active


III. MEDICAL:
Do you have a local Veterinarian? Yes   No
Name:
Address:
City, State, Zip:
Phone:
Note: We require ALL Veterinary records to accept your cat in our shelter.
You must MAIL these records.

Is the Cat currently on:
Maintenance medications? Yes     No
If yes, type:
Preventative medications? Yes     No
If yes, type:
Special diet? Yes     No
If yes, type:
How many meals per day?
Amount at each feeding?

Where does Cat eat?
Where does Cat sleep?
Describe Cats general temperament:

Has this Cat ever shown fear? Yes     No
Has this Cat ever bitten a person or other animal? Yes     No
Why are you unable to keep this Cat?
Additional Comments:


WE REQUIRE A DONATION AT THE TIME OF SURRENDER WHICH HELPS DEFRAY THE COSTS OF ANY VETERINARY EXPENSES, GENERAL CARE AND POSSIBLE LONG TERM CARE OF YOUR CAT PLEASE BE GENEROUS!

BY SUBMITTING THIS FORM, I UNDERSTAND THAT ANY FUTURE PLACEMENT OF THE CAT I AM SURRENDERING TO ATLANTA PERSIAN AND SIAMESE RESCUE IS STRICTLY CONFIDENTIAL AND I WILL BE PROVIDED NO INFORMATION CONCERNING FUTURE ADOPTION. I AGREE TO FURNISH ALL VETERINARY RECORDS.

I WILL BE MAKING A DONATION TOWARDS THE CARE OF MY CAT IN THE AMOUNT OF
$

Signature:   Date:

BEFORE WE CAN ACCEPT YOUR CAT INTO OUR PROGRAM, YOU WILL NEED TO MAIL ALL VETERINARY RECORDS AND A RECENT PHOTO OF THE CAT TO:
ATLANTA PERSIAN & SIAMESE RESCUE
3705 NEW MACLAND ROAD
PMB 200 / 148
POWDER SPRINGS, GA 30127

AS SOON AS WE RECEIVE THIS INFORMATION, WE WILL CONTACT YOU.