Winifred

Name of the cat you are applying for

Title

Your Name

First

Last

Address Line 1

Town/City

County

Postcode

Phone

Email

Date of Birth

Profession

How many adults live in the home?

How many children live in the home?

What are the children’s 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?

If yes, please specify allergies.

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

What time of property do you live in?

If flat, please state floor level.

If other, please specify.

Is your property owned or rented?

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

If other, please detail.

How would you describe the area you live in?

Do you live on a busy road?

Will the cat have outdoor access?

Do you have a garden?

Do you have a cat flap?

Would you fit one if necessary?

Where will the cat sleep?

Do you currently have other pets?

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 or the one you are intending to use.

Have you previously owned a cat or any other pets?

If yes, please specify.

Have you previously rescued a cat?

Are you planning any of the following?

If you have any of the above events coming up, please clarify.

I would like my new cat to be:

If you selected other, please specify.

Why do you want a cat?

When would you be ready to rehome?

Please tick if you are happy to receive further information from/about the shelter by:

Confirmation

I confirm that I am over 18 years of age, all of the information I have provided is correct to the best of my knowledge and the shelter can contact me about my application using the details on this form.

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Winifred