Cat Adoption Expression of Interest Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you owned a pet before?
Yes
No
Which cat are you interested in adopting?
Have you had any pets within the last 10 years?
Yes
No
If yes, Please list what you have had below
Do you currently have any pets?
Yes
No
If yes, what pets do you currently have?
If you have current pets, do any of them currently have any injuries or illnesses?
Yes
No
If yes, please list what they have below (e.g. cat flu, FIV)
Are there children in the home the pet will reside in?
Yes
No
If yes, please list their ages below
Tell us a little about why you want to adopt a cat. For example, as a companion for yourself or for another pet. Please give us as much detail as possible.
What is (or would be) the name of your usual vet clinic?
Due to unforeseen circumstances, would you consider giving up or surrendering this cat? What might you see this being?
Do you intend to keep your cat indoors only?
Yes
No
Are you aware of the cat curfew in the City of Yarra Council?
Yes
No
Are you willing to get this pet checked annually and vaccinated?
Yes
No
Are you prepared to financially support any medical issues that may arise over his/her lifetime? Please write your answer below
Are you aware of the general cost value of veterinary treatments? Please write your answer below
Submit
Should be Empty: