Applicant's First Name *
Applicant's Last Name *
House number and Street name *
Town *
County *
Post Code *
Mobile Phone Number *
Phone Number
include area code
Email Address *
Please enter correctly as this is the main way we will contact you
Date of Birth *
How did you find out about us?
Internet Search
Family/Friend
Staff/Volunteer
Social Media
Other
Are you in the process of applying elsewhere at this time? *
No Yes
Is this pet for you or someone else? *
Myself
Someone else
Do you own other pets at the current time? *
No Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered *
Yes
No
N/A
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets current on their vaccinations?
Yes
No
n/a
Have you ever turned a pet into a rescue or rehomed a pet?
No Yes
If yes, please explain?
Veterinarian's Name
If you have never owned a pet please tell us where you would go.
Veterinarian's Address, Town, County and Post Code
Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Have you ever had a pet euthanised?
No Yes
If yes, please explain:
How do you feel about having pets spayed/neutered?
Agree
Disagree
Not Sure
Please check the main reason you plan to adopt a pet: *
Companion
Family Pet
Child's Pet
Companion for another pet
Other
If you answered "other" above, please explain here:
Please describe in detail the pet you are looking for. *
please note our 2 kitten policy.
Do you own or rent your home?
Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type.
House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
How long have you lived at this address?
Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
If you rent, does your landlord and lease allow pets? *
You will need to show proof of this at your homecheck.
Yes
No
Unsure
N/A
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt a pet? *
Yes
No
N/A
Does anyone in your household have allergies to dogs/cats?
Yes
No
Possibly
N/A
Employment Status
Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
If you chose "other" above, please explain:
If you are employed, what is your current occupation?
On average, how many hours per day will your pet be left alone?
Please provide a description of this pet's living conditions.
Where will the animal sleep?
In bed with me
In bed with my child
In a dog / cat bed
In a kennel / crate
Wherever he or she likes
Outside
Other
If you answered "other" above, please explain:
Will you keep the animal up-to-date on vaccinations?
No Yes
If no, please explain:
Have you ever been convicted of abuse or neglect of an animal? *
No Yes
If yes, please explain:
What arrangements will you make for the care of your pets in case of an emergency? *
Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
If you answered "other" above, please explain:
What will you do with the animal when you go on vacation?
Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
What would you do with your animal if you had to move?
Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years? *
No Yes
If no, please explain:
Will you allow us to perform home checks? *
No Yes
I confirm I have read the C4C 2 kitten policy *
https://www.canva.com/design/DAGwbJXl99A/NadnS66XTImOpFjOGyRdug/view?utm_content=DAGwbJXl99A&utm_campaign=designshare&utm_medium=link2&utm_source=uniquelinks&utlId=hbae29a0578
No Yes
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorising you to contact landlords, associations and veterinarians as part of the adoption process. You are also aware that we cannot guarantee the health and temperament of the animal. *
Yes
No