CARE Cat Adoption Application

Cat Expression of Interest Form
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*
General Information
Name of Applicant*

First NameLast Name
Name of partner or significant other

First NameLast Name
How long have you been in this relationship?
18-3031-4546-6061-7576+
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*
Your home
HouseApartmentUnitFarmMobile homeOther
OwnRentI live with a parent, guardian or family member
YesNo
Attach permission

Cancelof
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?*
Current & Past Pets
YesNo

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?*
YesNo
Veterinarian
Vet Clinic*
Vet Clinic Phone*
Format: 0000 000 000.
Personal References
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
Terms & Conditions
AgreeDisagree
I hereby authorize CARMAR to contact my references, veterinarian(s), and landlord to verify said statements.
Applicant Name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Cat Expression of Interest Form