Cat Adoption Application

Animal you are interested in adopting? *
I have met the cat I wish to adopt. (If not please submit a meet & greet form before submitting your adoption application) *
Applicant's First Name *
Applicants Surname *
Street Address * Please enter your street address
Suburb * Please enter the suburb you live in
Post Code *
State *
Which Council area are you located in? *
If postal address is different to residential address
Phone Number * Please enter your phone number
Email Address (non NT Gov or NT Schools email addresses please)(Please check spam folder as you will get an automatic email once you submit this form and future emails may also go there) * Please enter your email address
Facebook Profile * Please enter your Facebook profile name
Preferred Method of Contact *
Date of birth * Please enter your date of birth
Secondary contact for Council (if applicable) and microchip registrations - Full name and contact number *
Please enter your photographic identification. ie Driver's Licence, Proof of Age Card, Passport *
Please tell us why you'd like to adopt this cat? * For example, will a cat you adopt be a companion for your and/or your family, or a companion for another animal in your home?
Which characteristics are most desirable to you in a cat? * Please tell us what you're looking for in a cat
Which characteristics are least attractive to you in a cat? * What are some behaviours or personality traits that you wouldn't like in your new family member?
Under what circumstances, if any, would you consider surrendering a cat? * Would you consider finding a new home for your pet in any the following situations: Moving home Moving interstate Moving internationally New child New dog or cat didn't get along well with this cat A family member develops allergies to this cat A new partner doesn't like this cat The cat became sick *The cat develops bad behaviour such as scratching, marking, etc.
Under what circumstances, if any, would you consider euthenasing a cat? *
Please tell us what you will do if you move? *
Please tell us why you wish to adopt this specific cat? * Please tell us why you think this cat would make a great addition to your family
Do you own other pets at the current time? *
Has your pet/s meet this cat? *
If yes, please list their breeds, sex and ages. * If you answered yes to the previous question please tell us a bit about your other pets. Information such as ages, sexes, and breeds can help us determine which cat best suits your home.
Are all of your pets desexed, vaccinated, wormed, microchipped & registered? If you have animals at home, they are microchipped, vaccinated, desexed, wormed, and given regular flea and tick treatment.
Including yourself, how many people live in your household? *
Please list the relationship of those who live in your home. Please List ages of Children who live in your home *
Who will be responsible for care of the cat? *
Is everyone in your household in agreement on adopting a new cat? *
What will the living arrangements for your cat be on a day to day basis? * Please tell us a little about who your cat will be living with, what periods of time it will be alone for, whether it will be spending the majority of its time indoors or out, and how it will spend its nights
Is anyone in your household allergic to animals? *
What are your current living arrangements? *
What type of property do you live in? *
Do you have permission from landlord/strata/council to keep this animal at your home? *
Do you have permission from council to keep this animal at your home? *
Will this pet be predominantly living inside, outside, or both? *
Where will the animal sleep? *
On average, how many hours per day will your pet be left alone? *
What will you do with the animal when you go on vacation or away for work? *
What is your current occupation? *
How much do you expect to spend on cat food & kitty litter per month? *
Would you like a free Advance Kitten pack with a 40% off next purchase through the PAWS Darwin Community Vet Clinic? We sign you up for Advance mailing list if offer taken. Only for kittens under 12 months of age at the time of adoption.
How much do you expect to spend on medical care each year? *
Do you have or are you considering pet insurance? *
Veterinarian's Name (must supply details of a vet for application to be considered) *
Veterinarian's Address *
Veterinarian's Phone Number *
Are you willing to take responsibility for this animal for the next 10-20 years? *
I understand that this is an application only and it must be reviewed by your selection board. I understand the selection board will make the decision in the animal’s best interests and environment. Where there are multiple applications for the same animal, I understand I may not be the successful applicant. *
I understand that if my application for adoption is approved I am able and willing to pay the full adoption fee within 2 working days of written notification (as long as the animal is over 8 weeks old) *
I understand that the age and breed of Paws animals is generally an estimate and is accuarate to the best of their knowledge only. *
I understand that the animal will be microchipped and the registration will be transferred to my name once the adoption has been finalised. I will ensure that I update my details as required directly with the microchip company when needed. *
I understand that the animal will be de-sexed if over 6 months. I agree to getting my animal de-sexed before 7 months for it's health and social behaviour if not old enough at adoption. *
I agree and understand that animals from PAWS Darwin have been given up to date vaccinations and worming treatments up to the date of adoption in line with the age of the animal. I agree that I am responsible for any and all vaccination and worming treatment costs from the date of adoption and I agree to ensure all vet work is kept up to date for the remainder of the cats life. PAWS Darwin will not be held liable for any further vaccination and worming expenses after adoption. *
I agree and understand that animals from PAWS Darwin have undergone a general health check and physical exam from a veterinarian before being placed for adoption and that I have been made aware of any medical conditions that the animal I wish to adopt currently has (if any). From the approval of the adoption forward I agree that I am responsible for any and all veterinary bills accrued in relation to the cat listed on this application form, and that PAWS Darwin will not be held liable for any further medical expenses *
I agree that PAWS Darwin has disclosed, to the best of their knowledge, any behavioural issues this animal displayed prior to adoption (if any) and that I adopt at my own risk. I release PAWS Darwin and related invididuals and entities from any and all liability or damages related to person(s) and/or property caused by the animal listed on this adoption application. *
I agree that if any behaviour concerns emerge with this cat in the future I will contact Paws Darwin and work with them to attempt to resolve prior to either surrender or euthenasia *
I understand there is no “change of mind” refund if you choose not to keep the cat for the rest of its natural life through no fault of the cat. *
I agree that I intend to provide a home for this animal and care for this animal for the remainder of its natural life. If for reasons outside my control I can no longer care for the animal I will contact Paws Darwin in the first instance to discuss options. I will surrender my dog to Paws unless they provide me with written authority advising otherwise. I also agree to pay any fees associated with the surrender of my animal. *
I understand a refund will not be offered if 1. A new adopter has had a change in heart or circumstances. PAWS Darwin has created their adoption program to give new owners the best chance at finding their new pet and all precautions have been taken to ensure the new adopter has made the correct choice (as per adoption application process) 2. A behaviour issue has arisen that the new owner is not prepared to utilise PAWS Darwin's training vouchers or trainer advice. 3. A Health issue has occurred post adoption 4. The animal has not completed their vaccination schedule and has been allowed out of the property or in uncontrolled areas putting the animal's health at risk. In the case of an animal being returned to the shelter under these conditions PAWS Darwin reserves the right to either request the surrender fee from the adopter or to waiver the surrender fee depending on circumstances *
I understand PAWS Darwin will only offer a refund for an animal under the following circumstances: 1. An animal has been adopted and has been involved in a substantiated attack or shown aggression towards people or other animals in the household 2. An animal has an underlying health condition that affects the animals well being and preceded the adoption and was not disclosed prior to adoption. 3. An animal has displayed a serious behaviour issue that the new adopter has discussed with a PAWS Darwin Trainer and/or new adopter has attended the provided behaviour classes but a resolution has not been successful. *
I agree to abide by all local council guidelines relating to keeping a cat including registration if required. *
I can certify that the answers in this application are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians as required to validate or to conduct a home assessment. *
I understand that when a decision has been made an email will be sent to the email address on this form and I know that it may go to my spam/junk folder so I will look there. (Please refrain from calling to check your application as it can take a little time especially with multiple applications and we will email asap.) *
Signature of Applicant. Please use your finger on touch screen or click and hold your left button to use your mouse above the line. * Please sign on screen or click and hold your left button to use your mouse.
Date of Application *
How did you hear about us? *