Adoption Application Form

Title *
Applicant's First Name *
Applicant's Last Name *
Street Address *
Postcode *
Mobile Number * Please use the following format +441234567890
Email Address * Please enter correctly as this is the main way we will contact you
Confirm email
Date of Birth *
Do you know which cat you would like to adopt? * Please select "Yes but not listed" if you know which cat(s) you would like to adopt, but they are not on the drop-down list provided when you select "Yes".
Cat you are interested in adopting: *
Second cat you are interested in adopting: *
Third cat you are interested in adopting (if applicable): *
Name of Cat(s) you are interested in adopting *
What sex cat are you looking for? If no preference, leave blank.
What is your colour preference? If no preference, leave blank.
Which criteria does the cat need to meet? If no preference for one of the options, please leave blank.	Good with cats Good with dogs Good with children Good with elderly Housetrained
Are you looking for an indoor or outdoor cat? If you do not have a preference, please leave blank.
Do you own other pets at the current time? *
Please list how many, their breeds and ages. *
Will they adjust to a new pet in the house? *
Are all of your pets spayed/neutered? *
Have you ever surrendered a pet to a rescue? *
Please explain your reasoning: *
Please choose the main reason you plan to adopt a pet: *
Please explain your reason here: *
Do you own or rent your home? *
Does the homeowner/landlord and lease allow pets? *
Please tick if you live near to any of the following:	Main road Large body of water Train line
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? *
Does anyone in your household have allergies to dogs/cats? *
On average, how many hours per day would the cat(s) be left alone? *
Will you keep the cat(s) up-to-date with vaccinations? *
Please explain: *
What will you do with the cat(s) when you go on holiday? *
Please explain: *
Are you willing to take responsibility for the cat(s) for the next 10-20 years? *
Please explain: *
Will you allow us to perform home checks? *
Proof of Identity Acceptable forms of identification are a valid Full / Provisional Drivers Licence, or Passport. We ask for this information to ensure you are who you say you are. This is to protect all the cats and kittens in our care. If you have any questions regarding this please do not hesitate to contact us via email (admin@straysafe.co.uk).
Do you consent to receiving communications from us? * Please select all methods that apply.
By submitting this form, I agree that I: --Have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. --Am aware that StraySafe cannot guarantee the health and temperament of any animal. --Consent to my details being stored for auditing purposes and to allow the rescue to contact me.
Date: *