SCA - Cat/Kitten Adoption Application

Which cat are you interested in adopting?
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Post Code *
Local Council *	Other Balonne Shire Council Barcaldine Regional Council Brisbane City Council Bulloo Shire Council Bundaberg Regional Council Cherbourg Aboriginal Shire Council Fraser Coast Regional Council Gold Coast City Council Goondiwindi Regional Council Gympie Regional Council Ipswich City Council Lockyer Valley Regional Council Logan City Council Maranoa Regional Council Moreton Bay Regional Council Murweh Shire Council North Burnett Regional Council Paroo Shire Council Quilpie Shire Council Redland City Council Scenic Rim Regional Council Somerset Regional Council South Burnett Regional Council Southern Downs Regional Council Sunshine Coast Regional Council Toowoomba Regional Council Western Downs Regional Council
Phone Number * Please use the following format 1234 567 890
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Contact Name This contact is used for microchip transfer as a second/alternate contact
Alternate Contact Phone This number will be used on the microchip transfer as the second contact in case of a lost cat
Are you over 18 years of age? * You must be over 18 years of age to enter into an adoption agreement.	NoYes
How did you find out about us?	PetRescue Petstock Store Facebook/Instagram Family/Friend Staff/Volunteer Other
Please describe in detail the pet you are looking for.
Do you own other pets at the current time?	Yes No
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?	Yes No
Are your pets current on their vaccinations?	Yes No
If you have pets, will they adjust to a new cat in the house?	Yes No Unsure
If renting, do you have real estate/landlord approval to have cats in your home? *	Yes No Currently Negotiating N/A
Does anyone else live in your household?	Yes No Sometimes
Please list the ages of those who live in your home.
Is everyone in your household aware that you are planning to adopt a cat?	Yes No
Does anyone in your household have allergies to cats?	Yes No Maybe N/A
Do you agree to keep your cat/s inside, and is your home equipped to contain cats, ie screens on windows and doors, etc? * To ensure the cat's health and safety, and compliance with council bylaws, it is expected that they are kept indoors at all times. Do you agree to keep your cat/s inside, and is your home equipped to contain cats, ie screens on windows and doors, etc?	Yes No Maybe
If no/maybe, please explain: * To ensure the cat's health and safety, and compliance with council bylaws, it is expected that they are kept indoors, or within a suitable enclosure at all times.
Are you prepared to provide appropriate enrichment and exercise for the cat? Indoor cats require appropriate enrichment to ensure they receive enough exercise and stimulation, such as cat trees, scratch posts, flirt poles, toys, interactive toys.	Yes No
Are you prepared to maintain the cat’s flea and worm treatment, dental care, vaccinations and vet care?	Yes No Maybe
If no, please explain:
Please let us know a little about yourself and your household, and why you are interested in adopting this cat!
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I understand that SCA does not condone roaming cats, and that if my application is successful, I agree to keep the cat indoors and/or in a suitable outdoor enclosure. I am also aware that SCA cannot guarantee the health and temperament of the animal. *	Yes No