Animal you are interested in adopting
First Name *
Last Name *
Street Address *
City *
Region
Post Code
Phone Number *
Email Address *
Please enter correctly as this is the main way we will contact you
Date of Birth
Drivers License Number
Are you a NZ Resident or Citizen?
If you do not have NZ Residency/Citizenship, you will be unable to adopt a dog from Vadas Angels
No Yes
How did you find out about us?
Internet Search
Event
Family/Friend
Staff/Volunteer
Facebook/Instagram
Other
What is the reason you want to adopt a new cat? *
Please describe in detail the type of cat you are looking for. *
Sex of Animal
Male
Female
Any
Tell us about your previous experience with cats. *
Have you adopted before or applied to adopt a cat from any other animal rescue group?
No Yes
If yes, where else have you applied for a cat?
Is this cat for you or someone else?
Myself
Someone else
Do you own other pets at the current time? *
No Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
Yes
No
N/A
Are your other pets current on their vaccinations?
Yes
no
n/a
If you have pets, will they adjust to a new pet in the house?
Yes
No
Unsure
N/A
How many pets have you owned in the last 5-10 years? *
What happened to them?
Have you ever had to surrender your dog or cat to a pound/rescue?
No Yes
If yes, please explain?
Do you own or rent your home? *
Own
Rent
If you rent, does your landlord and lease allow pets?
If renting, we will require a written letter from your landlord with permission for you to have animals at the property.
Yes
No
Unsure
N/A
If renting, please provide contact details for your landlord.
Please include Name, Phone and Email
Please select your current home type.
House
Apartment
Townhouse
Farm
Other
If you answered "other" above, please explain here:
How long have you lived at this address?
Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
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?
Yes
No
N/A
Does anyone in your household have allergies to cats?
Yes
No
Possibly
N/A
Employment Status
Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
If you chose "other" above, please explain:
If you are employed, what is your current occupation?
On average, how many hours per day will your cat be left alone?
Are you prepared to cover all bills (food/vet care/bedding/toys) for your cat for the rest of its life?
Will this cat be predominantly living inside, outside, or both?
Inside
Outside
Both
Please provide a description of this cat's living conditions.
Will you keep the cat up-to-date on vaccinations and flea/worm preventative?
No Yes
If no, please explain:
Have you ever been convicted of abuse or neglect of a child or animal?
No Yes
If yes, please explain:
What arrangements will you make for the care of your pets in case of an emergency?
What will you do with the cat when you go on holiday?
What would you do with your cat if you had to move?
Are you willing to take responsibility for this animal for the next 10-20 years?
No Yes
If no, please explain:
References Full Name
References Phone Number
References Email
I have read the declaration and certify that the answers I have given are complete, true and not misleading in any way. *
* The Applicant agrees to Vada's Angel's completing reference checks.
* The Applicant agrees to pay the Adoption Fee
* The Applicant agrees to keep the cat locked in the house for a minimum of two weeks.
* The Applicant agrees to return the cat to Vada's Angels if for any reason the Applicant can no longer provide care for the cat.
* The Applicant understands that if at any time Vada's Angels has any serious concerns about the care, health, safety or welfare of the cat, Vada's Angels will have the right to uplift and take back the cat while the situation is being investigated.
* The Applicant agrees that the cat will be kept only as a domesticated house pet.
* The Applicant states that he/she nor any member of the family have never been subject to a formal complaint or legal action for cruelty to or neglect of animals and have never owned an animal which has been confiscated by any agency for violations of any laws, regulations or animal adoption agreements.
*The Applicant understands and agrees that Vada's Angels is not responsible for any damage caused by the cat, nor liable for any costs incurred.
*The Applicant understands that completing this form does not guarantee acceptance of adoption until confirmed by Vada's Angels
Yes
No
Please Sign Name *
Clear
