Eastham's Hill Small Animal Rescue
Adoption Application Form for Cats
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
County
Post code
Name of Cat interested in adopting?
Is your home rented or owned?
If you rent do you have written permission from the landlord?
Are you planning to move home in the next 6 months?
Do you have any holidays planned in the next 3 months?
Yes
No
Are their any other Cats at your home?
Yes
No
If yes please state age and gender of Cat/s and if they are neutered and have been vaccinated in the last 12 months
Any other animals in the household?
Yes
No
If yes please state type of animal and how many?
Anyone else in the household?
Yes
No
please list everyone in your household including ages
Will and can you provide your cat with monthly flea/worm treatment,annual vanninations and vet care ?
Yes
No
Please describe your home environment (eg: garden? access to catio?road proximity?)
Please tell us your experiences with cats?
Which method of pre home check would you prefer?
Virtual via WhatsApp
physical
I/we agree with the following statements
if we adopt a Cat, we will provide professional vet care, a nutritious diet, and a loving home.
We also agree that we will return the Cat if we can no longer keep it.
No member of our household has ever been convicted of cruelty to animals.
We agree to the adoption fee set by the rescue
Signature
The information you have provided on this form will only be used for the sole use of Eastham's hill small animal rescue for the adoption process. All your information is kept secure and not shared with anyone else.
Please verify that you are human
*
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