Adoption Form - The Kitty Room

Adopter Data

Name: Santy Saptari

Gender: Female
Age: 41
Phone Number: 0812 877 20143
Email: santysaptari18@yahoo.com
Address: Jl Kramat Jaya Baru Blok E9/235, Jkt Pusat
Profession: Konsultan

Animal (to be adopted) Data

Type: Domestic Cat

Name: 1/7 Ginger Kitten
Gender: Female
Reason to Adopt: I love cats and I want to give them a better live and permanent home

Adoption Rules

● Adopter(s) must love cats

● Adopter(s) are committed to taking care of the cat(s) as a lifelong commitment, not
hurting / abusing adopted cats.
● Adopter(s) are willing to meet the needs for food, drink, and a decent place to live.
● Adopter(s) are Provet: willing to take the cat to the doctor if it looks sick
● Adopter(s) are Provaccine: willing to vaccinate cats to be healthy and not susceptible to
disease
● Adopter(s) are prosterile: willing to sterilise the cats for a healthier life

Hereby on this date 8 Agustus 2021 Adopter Santy Saptari agrees to adopt an animal (domestic
cat) named/referred to as 1/7 ginger kitten from The Kitty Room and agrees to comply with the
adoption rules written above.

Adopter Name & Signature

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