Cat Intake Form

To help us get back to you as quickly as possible with a decision, please provide detailed, honest and accurate information.
Things to know: You’ll be asked to share details of medical history, behaviour, and photos of your cat. If you're looking to rehome more than 1 cat then you will be required to fill out the form for each individual cat. It takes around 10-20 minutes to complete an application for each cat. If you're happy with the above please continue.
Title *
First Name: *
Surname: *
Address: *
Town: *
County: *
Postcode: *
Mobile Number: *
Email Address: *
Can we keep in touch? We'd love to send you updates about what’s happening at CDCH, including heart-warming pet stories, expert pet advice, and how you can support our vital work. Simply let us know how you’d like to hear from us: *	Contact me via phone Contact me via email Contact me via both I opt out of keeping in touch
Where did you hear about us? *
We appreciate a minimum donation of £30 towards each cat we rehome. Can you give a donation? *	Yes, I can give £30 for each pet I can make a small donation I am unable to make a donation at this time
What is the main reason for parting with your pet? *
Are you the registered keeper on the microchip of this pet(s)? *
If you have stated no, you will be required to fill out the owner's details below:
Owners Name:
Owners Address:
Town:
County:
Postcode:
Owner's Number:
Owner's Email:
If we can help you keep your pet, would you be interested in discussing the options? *
If offered an appointment at CDCH, do you have transport to be able to attend the centre? *
*	Euthanasia Policy* We will never put an animal to sleep to make space for another animal to come into us. Pets who's emotional and physical needs cannot be safeguarded will be assessed, reviewed and necessary steps implemented to improve this. If a pet is found to have an untreatable or serious medical problem(s), or behavioural issues so severe we deem them unsafe to be rehomed, then euthanasia will be considered. Tick the box to say "I understand and agree with your euthanasia policy."
Rehoming more than one pet: If you're looking to rehome more than 1 dog at this time then you will need to complete an individual form for each dog. If you're looking to rehome more than 1 species you will be required to fill out the relevant species form for each animal.
Tell us about your pet:
Cats Name: *
Did you rehome this dog from CDCH? *
What breed is your cat? *
What age is your cat? *
What colour is your cat? *
What sex is your cat? *
What's the neuter status of the cat? *
How long have you owned the cat? *
Where did the cat originally come from? *
If rescued, has the previous centre been contacted?
Is the cat microchipped? *
Has this cat ever been seen by a vet? If yes, please name and address the vet practise they're registered with. *
Was your cat born or purchased from outside the uk? If yes, tell us what country and history they came from? *
We will now ask you some more questions on your cats medical and behaviour history. Please answer these questions to the best of your ability and honestly so we can ensure the best help for you and your cat.
Does your cat have a current medical condition, or had one in the past? *
If you have stated that your cat has a medical condition or has previously had one, please provide us with more details of the condition below (e.g. when were they diagnosed, what is the condition called or related to etc?
Is your cat comfortable with both male and females? *
Has your cat had access to the outdoors? *
How frequently does your cat have access to the outdoors? *
Information on current home life * Use the text box below to describe what your cats current homelife is like. Please provide details of; How many people live in the household? Is it a quiet household or a busy one? Do they live with children? If so, how old? Do they live with other cats? Do they live with dogs or other animals? What sort of area do you live in e.g. rural, urban etc?
What is your cats behaviour like towards adults they're familiar with? *
What is your cats behaviour like towards visitors to the home? *
What is your cats behaviour like towards children? *
Does your cat live with another cat(s)? *
What is your cats behaviour like towards cats outside the property? *
How long is your cat comfortably left alone for on a daily basis? *
Does your cat use a litter tray? *
What are your cats toileting habits like? *
Has your dog ever bitten anyone?
Has your cat ever bitten anyone? *
If yes, what damage was caused?
If yes, how often have they displayed this behaviour?
Has your cat ever swiped or hissed at anyone? *
If yes, give us details in what scenario your cat would do this:
Tell us more about your cats personality and/or behaviour: *
Upload a good quality photo of your dog! *

End of Form