Adoption Form

Name of CAT(S) you are interested in. This is the name we have them advertised under, not your name. *

Are you willing to come to Saint Heliers, Auckland to meet the cat? NB: If you are not willing to travel to meet the cat your application will NOT be considered. *

Name

First NameLast Name

Date Of Birth

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you been at this address?

Are you Renting or do you Own the property you live in? If you are renting we may ask you for proof you are allowed a cat.

Residency Status. i.e. Resident, Citizen, Visa etc *

How many people are at the address *

Ages of people living at the house *

Will the cat have regular contact with children under 5

I am a first time cat owner? *

Please provide ALL details of CURRENT pets (unless stock, then just name type). MUST include Name, Breed, Sex, Age, Desexed Y/N, Current Vax Y/N, Registered Y/N *

If you answered no to any of the previous questions regarding your existing animals, please provide further information *

Have you had any pets in the past? What happened to them? Have you ever taken an animal to a shelter or released it to another party? *

Under what circumstances would you give up this pet? e.g. family illness, moving, high cost vet bills? *

Employment Status

Name of employer/business *

Age of cat preferred *

Sex of cat preferred *

Emergency Contact - Name, Phone Number, Email *

Is there any further information you would like to attach to support your application?

Declaration: By submitting this questionnaire, you agree that ALL the information you have provided is correct.