CAT Booking Form

Cat Booking Form

Name of Animal *
Are you ready to adopt IMMEDIATELY! If not - please wait until you are before applying. *	NoYes
Earliest date can collect pet? *
Do you have any holidays booked this year? *
Title *
First Name *
Last Name *
Address *
Town *
County *
PostCode *
Email Address *
Telephone *
Mobile Number *
Have you been home checked by any other rescue or a previous adopter from DBARC? (If DBARC adopter, please give the name of the animal and how long ago you adopted them) *
Type of Accommodation house / flat / other *
Home owned / rented? *	Owned Rented
If rented, do you have consent to keep a cat?	Yes No
Describe how busy the road your home is on *
Do you have a cat flap fitted? *	No Yes Do not feel we need one
When will you be fitting a Cat Flap *
Number of adults in household? *
Age of ALL adults *
No. of children and ages? *
Are the children used to Cats?	Yes No
Is this likely to change in future? *	Yes No Not sure
Occupation and working hours of all adults? *
Details of any other animals currently resident with adopter. (Please include species) *
Are these animals up to date with vaccines? (vaccine cards will be checked by homechecker) *	Yes No Not sure NA
Are these animals used to Cats *	Yes No Not sure NA
If another Cat – is it neutered? *	Yes No Not sure NA
Have you had cats before? If so what happened to them and how long ago? *
Do you understand it will take weeks, sometimes months to settle a new animal in? *	Yes No
Comfortable with suggested minimum donation? *	Yes No
Availability for home check appointment? *
Please add any other information you think may be helpful in your application here or type no other information *
GIFTAID DECLARATION (IF YOU ARE A UK TAXPAYER THIS MAKES YOUR DONATION WORTH 25% MORE)  ARE YOU A UK TAX PAYER?    If yes I wish the Charity to treat all the donations/subscriptions which I have made during the past 4 years, this donation and all future donations/subscriptions as Giftaid donations, until I notify you otherwise.(Please note that you must pay an amount of UK Income Tax or Capital Gains Tax equal to the tax deducted from your donations for your gift to be eligible for Giftaid and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference) *	Yes No
Your preferences about how to stay in touch (e-mail, phone, text, post, non) *