Please note: completion of this form indicates an expression of interest only and does not guarantee adoption. *mandatory fieldName* Phone*Email Have you had a cat before?* Yes No What breed/s?* Do you currently have any pets?* Yes No What animals and how many?* Are your current pet/s registered with your local council?* Yes No Have you had any experience with this breed of cat?* Yes No What type of housing to you have?* Flat/Apartment Unit House Farm Do you live in a rental property?* Yes No Have you received landlord approval for a pet?* Yes No What are your normal working hours?* Will the cat be an indoor or outdoor cat?* Indoor Outdoor Both Where will the cat sleep?* Where will the cat be kept when you are out? Who else lives in the house or will have regular contact with the cat?* Children Other adults Elderly Disabled Impaired N/A What age/s? Do you travel regularly for work or holidays?* Yes No Who will look after the cat while you are away?* Are you fully aware of all the responsibilities and financial requirements regarding ownership of a cat?* Yes No Is there anything that you are aware of that would mean you will not be able to care for the animal for the rest of its life? E.g. moving/working overseas in the future* Yes No What arrangements would you put in place should that occur?* How did you hear about this animal?* Lort Smith website PetRescue website Social media Word of mouth Other How?* Is there anything else you would like to tell us about you, your household or lifestyle?