Bermuda SPCA Cat Application

Adopting a cat

BERMUDA SPCA - APPLICATION TO ADOPT A CAT FROM THE SPCA Thank you for completing the form fully. Please note we can only take forward fully complete webforms, which need to include a scan or photo of your ID (such as driving licence) as an attachment. You will also need to provide confirmation from your landlord, if you rent, that you are allowed pets. At present, the web form only accepts attachments as photographic files (JPEGs etc) but any other attachments can be emailed to info@spca.bm (please remember to put your name in the email subject field). Please remember to inform us if you adopt an animal elsewhere so we can remove your form and not contact you. Thank you. Many thanks.

Are you 18 years of age or older? * |(Must be 18 or older to adopt)	NoYes
First Name(s) *
Last name *
Title	Mr Mrs Ms Mx Other
Email address *
Door Number & Street Address *
Address Notes (unit #/house colour/landmarks)
Parish *	Devonshire Hamilton Paget Pembroke Saint George's Sandys Smiths Southampton Warwick City of Hamilton Town of St George
Postal Code *
Do you own or rent? *	Own (if you own a Condo your committee will need to confirm it's ok to have this type of pet). Rent (if you rent, your landlord will need to confirm it's okay to have this type of pet).
Home Phone
Work/Other phone *
Mobile Phone *
Second Applicant Name (partner, spouse, etc)
If you are applying concerning a specific animal, please let us know its name, details etc, and where you saw the animal listed.
I am interested in (More than one response can be selected) *	A single cat A pair More than two Indoor only cat
What age cat are you looking for? *	Any age Kitten (0-1yr) Young Cat (1-4yrs) Older Cat (5+yrs)
Male or female?	Any Female Male
Do you have an existing dog in the house? *	NoYes
Do you have an existing cat in the house? *	NoYes
Your existing pets are.....(choose all that apply) *	Fully up to date with their vaccinations Haven't been vaccinated since being a kitten/puppy Have been neutered Fully wormed and de-flead currently I/We do not have any other pets
Which vet do you currently use for existing pets? *	Ettrick Endsmeet Cedar Tree BVS VetSmith No existing pets Don't have a vet.
What provision do you have planned to allow the cat access to outside? (This is to help us with the matchmaking process as some cats, for example, are indoor only.) *	Will be inside only Will go out into a public area Communal garden Own garden
How long would the cat be left? (Please select any/all that apply) Most cats are able to be left for a while (they probably sleep) but some need more constant attention and reassurance. The purpose of this question is for us to avoid introducing you to an animal for adoption which would be unsuitable. *	3 or 4 hours During the working day Occasionally during the day into late evening Overnight occasionally (please note you should by law not be leaving a cat unattended for more than 24 hours I am away a lot but use a sitter I am away a lot but the cat would go stay at the vets or a cattery.
Please let us know a bit about your family and home. (Please select any/all that apply). You can comment further in the Additional Information section. The purpose of this question is for us to avoid introducing you to an animal for adoption which would be unsuitable. *	We have young kids under 5 We have kids between 5 and 10 We have kids older than 10 We have kids visiting regularly We have 3 or fewer adults at home There is only me at home We have other cats We have no cats We have a dog We have several dogs We have visiting dogs or cats into the house We have other small animals or birds in the home
Please select any statement that applies to you. (More than one response can be selected) *	It is very important that the animal is good with dogs It is very important that the animal is good with cats It is very important that the animal is comfortable around children It is very important the animal is comfortable being picked up/petted It is very important the animal likes to play with toys I need an indoor-only cat Being good with dogs is not that important Being good with cats is not that important Being good with young kids is not that important Being picked up and petted are not that important I am a more experienced cat owner I am a first time cat owner
Additional Information (Is there anything else you would like us to know that you were not able to include above?)
Do you agree that your adopted pet will receive the needed medical attention at your own expense and you are aware of the costs of preventative, routine and emergency care? *	NoYes
Do you understand that this application does not guarantee that you are able to adopt a specific named animal, or any animal, from the SPCA? *	NoYes
Do you understand that falsification of the above information may result in an adoption being declined or confiscation of the adopted pet? *	NoYes
Photo of your driving licence, Bermuda ID card or other Government issued ID. The application cannot proceed without this. *
If you have a written or printed note of permission from your landlord, you can attach it here if it can be sent as a .JPG file. (At present, the software does not allow you to attach documents or PDFs to this form, but you can email or forward these to info@spca.bm-you must include your name and address so we can link them to your application). Thank you.
You can sign electronically, either with your finger (on a touchscreen) or the mouse. If the signature comes out wrong, you'll be asked to re-sign it later. *	Clear
Date form filled in *

SPCA SHELTER: 32 VALLEY ROAD, PAGET, PG-05. (441) 236 7333.