CARE Cat Adoption Application

Cat Expression of Interest Form

General Information

Your home

Current & Past Pets

Veterinarian

Personal References

Terms & Conditions

CAMPASPE AND RIVER MURRAY ANIMAL REHOMING INC (CARMAR)
ABN: 1966 540 9543 INC: A0097781B
PH: 0447727439
carmarechuca@yahoo.com www.carmar.com.au

https://www.petrescue.com.au/groups/11372/CARMAR
https://www.savour-life.com.au/savourlife-pet-adoptions/rescue-groups/376119/CARMAR

Echuca, Victoria

Name of cat/kitten that you're applying for*

Name of Applicant*

First NameLast Name

Name of partner or significant other

First NameLast Name

How long have you been in this relationship?

Which age group do you belong to?*

Names and ages of children (if any)

Home Address*

Street Address

Street Address Line 2

TownState

Post codeCountry

Phone Number*

Format: 0000 000 000.

Email Address*

Do you live in a:*

Do you own or rent your home?*

OwnRentI live with a parent, guardian or family member

If you don't own the home the pet will be living in, will you attach written permission from the property owner?

YesNo

Attach permission

Where will the cat be when home alone?*

Where will the cat sleep at night?*

Do you have a secure cat enclosure? *

If no, what living arrangements will you have for your cat?

Do you have cat flaps?*

What percentage of the time will your cat be indoors?*

To protect the environment it is important that cats are secured indoors at night, will you do this?*

Do you have any pets currently?*

YesNo

List all current household pets:

Have you had any pets of your own in the past?*

YesNo - this is my first pet

Please list all pets you have had in the past (breeds ect)

Have you ever sold, given away, or surrendered a pet to a shelter or rescue? If yes, please provide details*

Who will be the primary carer of the cat?*

What are the reasons for adding a cat to your family?*

How long have you been looking for a cat?*

Please give 3 reasons you think this cat will be a good fit for your family?*

Do you have the financial means to care for your cat in the event of a medical emergency?*

YesNo

Vet Clinic*

Vet Clinic Phone*

Format: 0000 000 000.

Reference 1*

First NameLast Name

Reference 1*

Format: 0000 000 000 .

Relationship to Reference 1*

Ex. Neighbor, coworker, roommate, family friend

Reference 2*

First NameLast Name

Reference 2*

Format: (000) 000-0000.

Relationship to Reference 2*

Ex. Neighbor, coworker, roommate, family friend

I certify that I am at least 18 years of age*

AgreeDisagree

I hereby authorize CARMAR to contact my references, veterinarian(s), and landlord to verify said statements.

Applicant Name*

First NameLast Name

Signature*

Date*

Date

Type of Animal/breed

Desexed? (Y/N)

Up-to-date on vaccines? (Y/N)