Adoption Aplication

Name of the kitten/cat you are applying for

Your first Name

Your last Name

Your street Address

State

Suburb

Postcode

Email

example@example.com

Preferred Contact Number

Your DOB

Have you owned a cat previously? (Y/N)

Have you adopted a cat from a rescue organisation previously? (Y/N)

Have you ever given an animal to a pound or shelter? (Y/N)

Do you have an alternative home for your cat should your situation change? (Y/N)

Alternative owner details (note we may contact this person during the adoption process)

Their name(s)

Their phone number(s)

Format: (000) 000-0000.

Do you live in a house or a unit?

Do you rent or own your home?

Is your home on a main road?

How many hours are you generally away from home each day?

Do you share your home with children? If so, how many?

What is the average level of activity in your home? scale from 1 to 5 where 1 represents quietness and 5 being active:

Do you share your home with other adults? If so, how many? Do these people agree to be contacted by us as part of the adoption process?

If so, please provide details:

Their name(s)

Their phone number(s)

Format: (000) 000-0000.

Do you share your home with other pets?

Do you or anyone else in your house have allergies?

Are you adopting a cat for yourself or for another person?

If unsuccessful in this adoption, would you be interested in adopting another

Kitten (10 - 18 weeks)

Adult (2- 7 years)

Senior (8 years+) or does it depend on the cat?

What type of cat do you want to share your home with? Active/Calm/Confident/Playful/Outgoing/Quiet/Independent/Affectionate/Good with cats/Good with dogs/good with children/other (please specify)

Where will your cat live? Inside/outside, inside only, outside only, inside/outside but indoors overnight

Have you ever worked for or had any involvement with an animal rescue organisation previously? If so, which ones?

Privacy policy

Your personal information is treated as confidential and we are committed to protecting your privacy.

Disclaimer and Signature

We will never sell or rent your information to a third party.

I permit The Inner West Cat Hospital to phone or email me or my provided contacts to ask how my new feline/s are settling in or to make further adoption enquiries.

I certify that, to the best of my knowledge, the information I have provided is true and that any information found to be false may result in my application for adoption being refused.

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