THE CORNISH REX BREED CLUB
RESCUE DIVISION
CORNISH REX FRIENDS
www.cornishrexfriends.org

ADOPTION APPLICATION

Information or Assistance:

Lisa Kuta, lisa@kuta.net
Barbara Morrow,
twomorrows@hughes.net

 FIELDS MARKED WITH * ARE REQUIRED!
Date*:
If you want to adopt a cat we now have available, what is the catís name?

Applicant Name:*                       

Co-Applicant Name:                
Relationship to Co-Applicant:    
Street Address 1*:                        Street Address 2:                         
City*: State*: ZIP*: Country:                                          

Home Phone Number:* 

Work Phone Number:
Email Address:* How long have you lived at above address?*
Do you rent or own your home?:* Does your landlord/association permit cats?*

Are you twenty years of age or older?:*

Landlord's Name & Phone # 
Number and ages of children in your family*:
Within your family unit, is there usually someone home most of the day?:*
 
How many pets do you currently have?  Please list species, breed, sex and age of each:*
Name and address and phone number of your veterinarian:*
Are you or anyone in your family allergic to any animals?  If yes, please list who and to what animals:*
How did you find about us:

Any additional information you feel you would like to share with the adoption committee:

    or      

Thank you for your time in completing this form and we look forward to working with you in completing the adoption process of a rescued Cornish Rex.

The Cornish Rex Breed Club