Adoption Form Name* First Last Mobile Phone*Email* Enter Email Confirm Email Address where animal will be kept / cared for:* Street Address City State / Province / Region ZIP / Postal Code Please enter your age*Cat InformationWould you like to adopt:* Kitten Cat Either Sex:* Male Female Either Do you have a preference for hair length?* Short Medium Long Any hair length Are you interested in a specific cat?*If so, please provide their name(s) as listed on Pet Rescue or our Facebook page:Please tell us about why you would like to adopt a cat*What characteristics are you looking for in a cat?* Active Calm Independent Playful Sedate / Mellow Affectionate Cuddly Confident Good with other cats Good with dogs Good with children Highlight as many as applicable:Are there any other characteristics not mentioned above that are important?Have you ever had to give away or re-home a previous pet?* Yes No If yes, could you please explain the circumstances:*Previous & Current PetsWill this be your first cat?* Yes No Do you have any other animals living at your home?* Yes No Please list their species, ages, sexes and breeds*Are the other cats or dogs vaccinated?* Yes No Please tell us about your previous pets (optional)Are the other cats or dogs de-sexed?* Yes No If your other pets are cats or dogs are they used to cats?* Yes No N/A Living ArrangementsDo you live in a:* House Flat / Appartment Unit Acreage / Farm Share house Is your home owned or rented?* Own Rent If you rent, do you have permission to have pets and can you provide a copy of your pet agreement?* Yes No Who do you live with?* Live alone Live with partner (no children) Live with children (under 18) Live with partner and children under 18 Live with children (adults) Live with parents Live with housemates If you live with others, are all other residents happy for you to have a cat?* Yes No N/A Are there any children living in your home?* Yes No If yes, how old are they?*Please rate the level of activity in your house (1: Quiet, 5: Active):* 1 2 3 4 5 Cat CareWhere will your cat live?* Inside only Indoors / outdoors (no cat enclosure) Indoors with access to cat enclosure outdoors Outside only Where will your cat sleep?*What brand/s of cat food are you planning to feed your cat?*Given that cats often live 18 years or more, are you willing to take responsibility for your pet’s entire life, keeping up to date with yearly vaccinations, tests and medical treatment?* Yes No Are you aware of and agree to local council regulations pertaining to cat care, containment of cats, number of cats and night-time restrictions?* Yes No Will you be registering your cat with your council?* Yes No Do you work?* Fulltime Parttime Casual Retired Homemaker How many hours will the cat be left alone during the day?*Do you have a drivers license and access to a car?* Yes No How will you get your cat to a vet when required or in an emergency?*Is there anything else you wish to add to help the foster carer when assessing your application?*Additional Contacts/ReferencesPlease list the names and contact details of two people who know you. This could be a family member or friend, colleague or veterinarian. Contact #1 Name:*Relationship to you:*Phone Number:*Contact #2 Name:*Relationship to you:*Phone Number:*Declaration:*By submitting this application, you agree that ALL information you have provided is correct and you understand that providing untruthful answers or failing to respond to questions could result in an unsuccessful application. By submitting this application, you agree to allow a 2nd Chance Cat Rescue representative to contact the additional contacts you have provided. These contacts are only contacted if you are successful in adopting from 2nd Chance Cat Rescue and we are unable to contact you in an emergency or your cat is found. You understand that in some instances, a property check will be required. We reserve the right to refuse any applicant.Date* If you adopt from us, would you consent to us contacting you for the occasional update on the cat’s progress?* Yes No
