Adoption Form
Griffith Cat Haven - Cat Adoption Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
What is your age?
*
Numbers only
Are you a permanent resident or Australian Citizen?
*
Australian Citizen
Permanent Resident
Visa Holder
Other
What is your employment status?
*
Full Time
Part Time
Casual
Unemployed/Seasonal
What type of cat are you interested in adopting? Check all that apply.
*
Kitten(s)
Adult
Senior
Undecided/No Preference
Are you applying for a specific cat?
*
No - I am still considering my options
Yes - I am applying for a cat I saw on facebook/instagram
Name of cat you are applying for? Optional.
Describe the characteristics and/or appearance your desired purfect friend would have?
*
Eg. Playful, friendly, lap cat, good with kids, good with dogs, good with other cats - male, orange, short hair etc.
If the cat(s) you are interested are no longer available for adoption, would you like us to continue to process your application for pre-approval in the event that another cat interests you?
*
Yes please
No thank you
Who is the cat for?
*
Myself
My family
Relative
Friend
Other
Are all members of the household aware of the adoption and in agreement?
*
Yes
No
Are you looking to adopt now, or in the future?
If in the future, please provide your estimated timeline of when you will be looking to bring home your new fur baby
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Lifestyle & Housing
Describe your home:
*
Single Family Home
Apartment
Acerage
Public Housing
Student Housing
Do you rent or own your home?
*
Own/Mortgage
Rent
Share House
I live with a parent, guardian or family member
Is your home busy or quiet?
*
Quiet
Busy
A mixture of both depending on the time of day
What are the names and ages of all household members?
*
Eg. Michael, husband (41); Jessica, daughter (7). Susan, mother-inlaw (80).
Are any members of the household allergic to pets? (eg. dogs, cats etc.)
*
Yes
No
In the event that you had to move, would you look for housing that accepts animals?
*
Yes
No
Current & Past Pets
Do you currently have any pets?
*
Yes
No
If yes, please list your animal breeds and ages
Have you had any pets of your own in the past 10 years?
*
Yes
No
Do you plan on letting your cat out for outdoor time? If so, please explain
*
Are you willing/able to take your pets to annual/yearly check-ups?
*
Yes
No
If your pet becomes ill, are you able to afford the veterinary bill?
*
Yes
No
How would you deal with behavioral issues such as excessive meowing, destructive behaviour, inappropriate urination etc.?
*
Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?
*
Yes
No
Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months)
*
Yes
No
If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?
*
If you were no longer able to care for your pet, do you agree that they be returned to the care of Griffith Cat Haven?
*
Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?
*
Yes
No
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
*
Yes
No
Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?
*
Yes
No
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Veterinarian
Please list your current / planned veterinarians(s) and their phone number(s) GCH will contact them to verify your current pets are up to date on shots and desexed; this is a requirement for new pet adoptions. Please call their office(s) to authorize release of information to GCH. If you are planning to utilize another vet but are not currently a client, please note thatinformation.
Vet Clinic
*
Vet Clinic
*
Please enter a valid phone number.
Format: (000) 000-0000.
Last name pet(s) are listed under? (If applicable)
Additional Vet Clinic(s)
Terms and Conditions
We’re almost there!
I certify that I am 18 years or older
*
Agree
Disagree
The information I have provided on this application is true. I also recognise that any misrepresentation or omissions may result in the loss of privilege to adopt from GCH
*
Agree
Disagree
I understand that GCH may deny my application for any reason
*
Agree
Disagree
I understand that GCH is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoptions and I take responsibility to care for and address these issues if they do arise
*
Agree
Disagree
I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact GCH to discuss return/or need for help of the adopted animal
*
Agree
Disagree
I understand that I am to immediately contact GCH in the event that my adopted cat is lost/missing
*
Agree
Disagree
I attest that the cat I am adopting is for me, in my home, and NOT a gift for anyone
*
Agree
Disagree
I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.
*
Agree
Disagree
Signature
*
Date
*
-
Day
-
Month
Year
Date
Submit
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