Adoption Application Form
First Name
*
Last Name
*
House number and street name
*
Town
*
County
*
Postcode
*
Email
Confirm email
Phone Number
*
Is this where the animal will live?
*
No
Yes
If not where will they live?
Which animal are you interested in? please give name or details of what you are looking for e.g. age/sex/personality
*
Will the cat have access outdoors or do you want an indoor only cat?
*
Outdoor access
Indoor only
Not a cat enquiry
Have you owned this type of animal before?
No
Yes
Do you currently own any other pets?
*
No
Yes
If Yes, please give details
Are your current animals neutered and vaccinated?
*
Name of current vet
Have you ever required assistance with paying vets bills?
*
Please confirm you will be able to pay any vet bills that arise
*
Yes
No
With Insurance
Have you ever given an animal up for rehoming?
*
No
Yes
If yes please give details
What is your/your partners current occupation?
*
What is your work pattern like?
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Full time (away from home)
Part time (away from home)
Shift (away from home)
Work from home
Not employed
How many hours do you work away from the house?
*
How long will the animal be left alone on a typical day?
*
Do you own or rent your home?
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Owned
Rented (Private)
Rented (local authority)
Military
If rented, do you have written permission to keep an animal?
*
Yes
No
I can obtain permission
Not rented
What type of accommodation do you live in?
*
House
Flat (above ground floor)
Flat (ground floor)
Bungalow
Do you have a garden?
*
Yes (private)
Yes (shared)
No
How many adults live in your household?
*
Are there any children? If so, how many and their ages
*
Is there a baby expected soon?
No
Yes
Who will look after your animals if you are away or ill?
*
Are you planning to go on holiday in the next 3 months?
*
No
Yes
If yes, please give details
Are you planning on moving in the next 3 months?
*
No
Yes
Does anyone in your house suffer from allergies?
*
No
Yes
If yes, please give details
Do you have a cat flap?
*
Yes
I can have a new cat flap fitted
No
I can provide alternative shelter
Not a cat enquiry
Other
If you put other, please give details
Is your house on or near a busy road?
*
Have you ever had a cat run over at this address?
*
No
Yes
Are you happy to keep your cat in at night?
*
Yes
No
Not a cat enquiry
If your application is for Rabbits, Guinea pigs or small animals please give details of hutch and run size. We will require photos so please attach them below.
Will the rabbits or guinea pigs be living indoors or outdoors?
Any other information to support your application
If possible please provide pictures of your house/garden to support your application
If possible please provide pictures of your house/garden to support your application
If possible please provide pictures of your house/garden to support your application
If possible please provide pictures of your house/garden to support your application
Please confirm your details are correct, you are over 18 and can collect any animal reserved within a week of the reservation
*
No
Yes