Adoption Application FormPlease complete form below. Personal Details Name * First Name Last Name Age Group * Under 18 18 - 25 26 - 35 36 - 45 46 - 65 66 upwards Do you have Permanent Residency Status or Citizenship in Australia * Yes No Address where animal will be kept/cared for * Suburb * Postcode Mobile / Phone * Email * Cat Information Are you interested in a particular cat? if so, please provide their names(s) if known What makes you an ideal candidate for this cat? What characteristics are most desired in a cat for you? * What characteristics are least desired in a cat for you? * Have you ever had to give away or rehome a previous pet? * Yes No If yes, could you please explain the circumstances Previous and Current Pets Will this be your first cat? * Yes No If not, how long since you owned a cat? Do you have any other animals living at your home? * Yes No If YES, please provide details of breed, age, temperament, and whether they are indoor and/or outdoor Are the other cats or dogs vaccinated? Yes No N/A Are the other cats or dogs de-sexed? Yes No N/A Living Arrangements Do you live in a * House Flat/Unit Acreage/Farm Share House Other If OTHER, please provide further information Do you own or rent your home? * Rent Own Flat Share Other If OTHER, please provide further information If you rent, do you have permission to have pets? Yes No If you rent, written permission from your landlord or estate agent must be provided. Are you able to provide this? Yes No Are there any children living in your home? * Yes No If YES, what are their ages? Please rate the level of activity in your house * 1 Quiet 2 3 4 5 Active Cat care Where will your cat live? * Inside Only Outside Only Inside with access to secure enclosure inside/Outside with no secure/safe enclosure If you are planning to allow your cat outside and do not have a secure/safe cat enclosure, would you consider getting one? * Yes No Where are you planning on having your cat sleep at night? * What are you planning on feeding your cat? * Are you willing to take responsibility for your pet’s entire life, keeping up to date with yearly vaccinations and tests? * Yes No Are you aware of and agree to your local council regulations pertaining to cat care, containment of cats, number of cats and night-time restrictions? * Yes No Have you ever been refused an adoption/purchase with any breeder, rescue group or shelter? * Yes No If YES, please explain Do you work? * Full-time Part-time Casual Student Retired Other How many hours will the cat be left alone during the day or night? * Additional Information Is there anything else you wish to tell us about you and your family that is beneficial to your application? Additional Contacts Please provide at least two additional contacts, people we can contact in the event your cat is located and we cannot reach you. Contact 1 Name * Relationship to you * Phone number * Follow Up If you adopt from Dandy Cat Rescue, our foster carer will be in touch with you occasionally to check on the cats progress. Do you consent to this? Yes No Declaration By submitting this application, you agree that all information contained herein is correct and you understand that misleading or untruthful answers or not answering some questions could result in an unsuccessful application. By submitting this application, you agree to allow Dandy Cat Rescue to contact the additional contacts provided in the event that your cat is found and we are unable to contact you. You understand that in some instances a property check will be required prior to an adoption. We reserve the right to refuse any application. Name * Date of application MM DD YYYY Please ensure all information on this form is true and correct before submitting Thank you for completing this application form. It has been sent to our team and one of our volunteers will reply to you within the next 48 hours.If you have not heard from us after this time, please contact us at dandycatrescue@yahoo.comDandy Cat Rescue
