Kitten Adoption Form for Invercargill Kitten Safe Haven

Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?:*
Cell Phone Number*
E-mail*
example@example.com
Are you able to afford the adoption fee of $130?*

YesNo
How did you find out about Invercargill Kitten Safe Haven?
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If you are renting, please provide the name & number of your landlord:
What is your living situation?*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
Name of adults and ages of children in household (including yourself):*
If you don't have children, do children visit the household frequently?*

YesNo
What is your reason for wanting to adopt a kitten?*

Your own petCompanion for a person in your householdCompanion for an existing petGiftOther
If other, please explain:
How many hours will your new kitten be left alone each day?*
Where would the kitten be kept when it is alone?
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Who will have chief responsibility for the care of your new pet?*
Have you ever owned a cat before?*

YesNoN/A
Over the past 5 years, how many pets have you owned? (Include current pets)*
List all other pets you have in your household:
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, how does he/she react to new cats?
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
Are you financially prepared to spend for routine/emergency medical care etc?*
What plans do you have for your new pet when you are on vacation?*
Which kitten on our page are you interested in?*
Type of kitten you would consider adopting: (check all that apply)*

Domesticated KittenEx Semi-Wild Kitten (requires a little more TLC)Special Needs (requires ongoing veterinary care/special diet)
Can/Will you provide your cat with monthly flea prevention?*

YesNo
Who is your current or most recent vet clinic?*
If your kitten has behavioral problems while settling in (like fussy eating, struggling with children, litter box issues, scratching furniture etc) how will you deal with that?*

Contact usContact your vet for adviceDo online researchUse your personal knowledgeOther
If other, please explain:
What solutions would you try if the above issue continues after the first week (check all that apply)?*

Move box/bowl to new locationTry a different litter/foodClean box more oftenConfine to smaller area away from children until settledHave the kitten examined by your vetUse a cat doorReturn the kitten to usNoneOther
If other, please explain:
What brand of cat food do you plan on feeding your new cat?*
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Are you willing to allow us to check in with you on how the kitten is growing, settling in etc?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
Have you ever adopted or tried to adopt a pet before? If yes, fill out info below.*

YesNo
Shelter name

Name of Organisation
Why are you choosing to adopt vs. getting a 'free kitten' or a purebred?*
Where will your kitten spend most of his/her time?*
If you selected outdoor, would your cat be supervised?

YesNo
Where will your cat eat?*
Where will your cat sleep?*
Do you agree, as part of successfully adopting this kitten, that if it is not desexed already, you will work with us to have the kitten desexed within it's first 2 months with you? This is a seperate non-negotiable contract we make with you, involving a reduced price vaccination & desexing service paid for in your adoption fee.
(Note that in a situation involving major distance barriers, we can discuss options suitable for your needs.)
Please remember, we are volunteers and it may take 24-48 hours for us to get back to you.

Please do not be afraid that our questions are all to exclude you as an applicant. Many of them are to get a good idea of whether the kitten/s would be a good fit temperament wise etc for your home. We want to make sure this kitten has a forever home with you!
Once we have received your application, you will receive an email confirmation within 24 hours.
Thank you so much for wanting to rescue a cat!!
Should be Empty:

Please remember, we are volunteers and it may take 24-48 hours for us to get back to you.

Once we have received your application, you will receive an email confirmation within 24 hours.

Thank you so much for wanting to rescue a cat!!