Amber

Name*

Prefix First Last

Address*

Street Address Address Line 2 County / State / Region ZIP / Postal Code

Phone*

Email*

DOB*

Profession*

How many adults live in the home?*

How many children live in the home?*

What are their ages?

Are there any children who visit regularly? If so, how old are they and how often do they visit?*

How busy is your house on average?*

Does anyone in the home suffer with allergies or asthma that may be triggered by the cat?*

Yes
No

If yes, please specify allergies

How many hours will the cat be left alone on weekdays? And how long on weekends?*

What type of property do you live in?*

House
Bungalow
Flat
Other

If flat, please state floor level.

If other, please specify

Is your property owned or rented?*

Owned
Rented

If you rent have you got written permission from your landlord to own a cat?

Yes
No
Other

If other, please detail.

How would you describe the area that you live in?*

Rural
Village
Town
City

Do you live on a busy road?*

Yes
No

Will the cat be a house cat?*

Yes
No

If no, do you have a garden?*

Yes
No
Communal

Do you have a cat flap?*

Yes
No

Would you fit one if necessary?*

Yes
No

Where will the cat sleep?*

Do you currently have other pets?*

Yes
No

If yes, please tell us more about them. Type of animal, age, sex, length of time owned, where they are housed and if they are neutered and vaccinated.

Please give the name and address of your Veterinary Surgeon if you have one.

Have you previously owned a cat or any other pets?*

Yes
No

If yes, please specify.

Have you previously rescued a cat?*

Yes
No

Are you planning any of the following?

A baby
Moving house
A holiday soon
Change in work hours

I would like my new cat to be:

Select All
a lap cat
good with kids
sociable
good with other cats
independent
good with other pets
a hunter
other

If you selected other, please specify

Why do you want a cat?

Confirmation*

I confirm that I am over 18 years of age and all of the information I have provided is correct to the best of my knowledge.

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Amber

Amber - Cat Number 1161