Heronbank Rescue Pre Adoption Form

Name*

Title First Last

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Full Name

Address*

House Number and Street Name Address Line 2 Town/City Postcode

PLEASE NOTE: We only rehome within the Yorkshire area.

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Post Code*

Mobile Telephone Number*

Please ensure this is a number that we can contact you on swiftly.

Email

Your age

Please put your age. Regrettably we cannot allow people under the age of 18 to take full responsibility for a cat.

Describe your living situation:*

I own my own home.
I rent and I have permission to bring home another animal.
I rent and I am not sure if I have permission to bring home another animal.
I rent and I am not allowed to have another animal.
I rent from the council

Please note the home checker will need to see proof of permission for a cat from landlord if renting. You're application cannot be processed without landlord permission. If you rent from the council, you are usually allowed up to 2 cats. If this is not the case for you please state that at the homecheck stage of your application.

Are you planning on moving in the very near future?

Yes
No

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Are you happy for us to do a home check?

Yes
No

A home check is required to adopt a cat or kitten.

What is your availability for your homecheck?*

Select All
Morning
Afternoon
Evening
Monday - Friday
Weekends

A home check is required to adopt any cat or kitten.

Do any children live at your address?*

Yes
No

(Under the age of 18)

What are their ages?

Do you have any animals?*

Yes
No

What animals do you have?*

Please list the type of pet and how many (e.g. 2 cats, 2 dogs, 6 fish and a parrot)

Are your pets vaccinated?

You will need to provide proof of vaccinations.

Do you have your vaccination records?

Yes
No
Not applicable

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What is the name/description of the cat you are interested in?*

Have you seen a cat or kitten that you are interested in?*

Yes
No

If so which cat / kitten?*

*Subject to availability

Are you open to considering other cats if your chosen cat is unavailable?*

Yes
No

I am interested in adopting:

Kitten
Young Cat/Juvenile
Adult
Senior
1 cat/kitten
2 cats/kittens

TICK ALL THAT APPLY. If you would like to add more detail e.g. preferred colour/gender/personality, please use the box at the bottom of the form (in the 'Thank You' section).

Type of Cat*

I want an INDOOR ONLY cat (never goes outside or in the garden)
I want a cat that lives mainly INDOOR and can go OUTSIDE freely
I want an OUTDOOR cat/FARM or STABLES cat/FERAL cat

1. If you have applied for an indoor only cat this means that the cat would never go outside, this includes the garden. If you intend on letting the cat out please tick the second option (indoor/outdoor). 2. Some of our cats have to be indoor and some of our cats that have to have access to the outdoor. As a result some of our cats might be unsuitable for your home. This will be determined upon receiving your form.

Please list the ages of your children*

(Under the age of 18)

Have you used Heronbank Cat Rescue before?

Yes
No

When did you last use Heronbank?

Do you have any trips away/holidays booked in the near future?*

Yes, within the next 30 days.
Yes, within the next 90 days.
Yes, in over 90 days.
No

What date does you holiday begin?

How long will you be away?

If you live with others, please describe their interest in adoption:*

Everyone in the household is excited about adopting.
Someone in the household isn’t sure about adopting.
Not everyone in the household knows that I am applying to adopt.

Do you live on or near a busy road?*

Yes
No

Please Note: This may affect the type of cat that you can adopt, however adoption forms are assessed on a individual basis by our homecheck panel (after completion of a home visit).

How did you hear about Heronbank Cat Rescue?*

Word of mouth
One of our volunteers
Previously adopted from us
Facebook
Twitter
Instagram
Google search
Other

(tick all that apply)

Thank You - Is there anything else you think we need to know?