Intake Request Form

Please fill out the intake request form completely for any cat(s) that you are requesting help for from Purrfect Friends.

Please note that filling out this form does not guarantee acceptance of the cat(s) to Purrfect Friends organization but it will be reviewed along with all other requests by an intake committee.

Please provide the following contact information:

First Name*

Last Name*

Street Address*

Street Address 2

City*

State*

Zip Code*

County*

Mobile Phone Number

Home Phone Number*

Email*

How Many Cats Need Placement?*

Cat Name*

Age of Cat*

Cat's Gender*

Cat Description*

Please indicate gender, color, breed, and whether the cat is short or long haired.

Need Placement by Date*

Please indicate the date by which the cat must be placed, keep in mind that urgent requests, (placements that must be immediate) are unlikely to be accepted.

Reason for request?*

Indicate if the cat is a stray cat, or an owner surrendered cat. If an owner-surrender please give a reason the cat is being given up.

Cat's Behavior (Select all that apply):*
Able to trim nailsBitesScratchesCan pick up and holdDoes not like other catsLap CatLitterbox issues (urination)Litterbox issues (defecation)OK with childrenOK with dogsHates carrierHas on-going medical issues

Cat's Personality:*

Is The Cat Declawed?*

Is The Cat Spayed or Neutered?*

If you have an appointment for spay/neuter for the future, what is the date of the surgery and location?

Is The Cat Up To Date On Vaccines And Flea Treatment?*

Veterinary records must be provided to show cat's currency on vaccines, flea treatment, etc.

Was the cat healthy at the last vet visit?

When was the cat's last vet visit?

Do you have any vet records for this cat?*

Name of the vet:

Are you able to make a donation to offset the cost of care for the Cat? (please indicate the amount you could comfortably pledge):

Note: Purrfect Friends is 501(c)(3) non-profit and your donation may be tax deductible.

Was the Cat adopted from a rescue originally?*

If the Cat was adopted from a rescue which group?*

How did you hear about Purrfect Friends?*

Courtesy Posting

If we are unable to accept the cat at this time, we will courtesy post the cat's listing on our website, Petfinder, etc. We have had many cats adopted this way.

Do you want us to courtesy post this cat?*

Cat's bio - this is what people will see about the cat:*

Describe the cat's physical characteristics, behaviors, etc. Be as descriptive as possible.

What Contact Information (from above) do you want in the posting?*
EmailHome Phone NumberAlternate Phone Number

Please email GOOD pictures of the cat to info@pfcatrescue.org.

Intake Form Date*