Kate – Carla Lane Animals in Need

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Carla Lane Animals in Need

3 Spurriers Lane, Melling, Liverpool, L31 1BA. Tel: 0151 549 0959

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Adoption Questionnaire

Name *

First

Last

Your full address and postcode *

Phone *

Email *

Email

Confirm Email

Reason for parting with your cat *

Cat's name *

Photo of cat

Click or drag a file to this area to upload.

Sex of pet *

Male
Female

Age of pet *

Is your cat neutered? *

Yes
No

Has your cat received any vaccinations in the past year? *

Yes
No

If this form is for a stray cat, assume the answer is no.

Do you have a vaccination card or vet records as proof, or can you get hold of them? *

Yes
No

Is your cat microchipped? *

Yes
No

If this is form is for a stray cat, they must be scanned for a microchip to confirm there isn't an owner who is missing them.

Please list any known medical conditions, or current medications. *

Please list any past surgeries or severe illnesses. *

Details of vet you use or have most recently used.

Reason for your cat's last visit to the vet? *

When did you get your cat? *

Where did you get your cat from? *

Have you contacted the other rescue, to check if they will take the cat back? *

Yes
No

Some places, including ourselves, have a policy to always take our own animals back if needed.

Where did your cat come from? *

What terms describe your cat? *

Family Cat
One Person Cat
Quiet
Playful
Shy
Aggressive
Friendly
Noisy
Destructive
Easygoing

Where does your cat spend most of its time? *

Indoors Only
Outdoors Only
Both

How does your cat behave around children?

Has your cat lived with other pets? *

Yes
No

What type of pets has your cat lived with?

Cat
Dog
Other

Would your cat like to live with other animals in future, or not?

Yes
No
Uncertain

Is your cat used to being left alone? *

Yes
No

Is your cat litter trained? *

Yes
No

What food does your cat eat? *

How much do you feed your cat?

Does your cat have sensitivity to any types of food?

Can you stroke your cat? *

Yes
No

Can you handle your cat? *

Yes
No

Do you have a secure carrier, and transport to bring your cat to the rescue? *

Yes
No

Rehoming Confirmation *

I confirm that I have given all correct information above. I understand that if accepted, I will voluntarily hand my pet to the Trustees of Animals in Need. I will no longer be responsible or have any legal claim. I understand that if the above information proves to be untrue, and my cat does not settle whilst in the care of Carla Lane Animals in Need, then I agree to have my cat returned. By checking this box and pressing submit below, you are accepting these agreements.

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Carla Lane Animals in Need

Home
Help Us
About Us
Animals
Information
Facebook Albums
Adoption Questionnaire

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Carla Lane Animals in Need, 3 Spurriers Lane, Melling, Liverpool, L31 1BA, 0151 549 0959

Registered charity No.1031342

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