Cat application form

"*" indicates required fields

1A few details about you

2A little bit about your home

3A little bit about your family

4A little bit about your lifestyle

5Your experience

Facebook

This field is for validation purposes and should be left unchanged.

Cat's name*

Please provide the name of the cat you are interested in. If there are multiple cats e.g. a litter of kittens and you have no preference for an individual, please specify 'No preference'

Cat's reference number*

Please provide the reference number of the cat you are interested in. If there are multiple cats e.g. a litter of kittens and you have no preference for an individual, please specify 'No preference'

Further preferences

If there are multiple cats e.g. a litter of kittens, please specify if you have any preferences regarding the sex of the cat, colour or any other specific requirements

Name*

First Last

Address*

Address line 1 Address line 2 Town/City County Postcode

Home telephone number*

Mobile telephone number

Work telephone number

Email*

Why are you looking to adopt a rescue cat?*

Are you looking for an indoor or outdoor cat?*

Indoor only

Indoor & Outdoor

Which veterinary practice do you register your pets with?*

Please give details of the veterinary practice you typically use to register your pets with. If you are not registered with a veterinary practice, please specify 'Not registered'

Where did you first see the animal you are interested in?*

RSPCA Chesterfield Branch website

Social media

RSPCA 'Find a Pet'

Visit to the centre

Other

Do you own your own property?*

Own

Rent

HM Forces

Council/housing trust

Other

Do you have permission from your landlord in writing to have a cat at the property?*

Yes

Don't know

Upload landlord's permission*

Please upload below evidence of your landlord's permission. This could be a letter, copy of your tenancy agreement or a photograph/screenshot of your permission.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB, Max. files: 2.

Please note - If you do not have your landlord's permission in writing, then you will not be able to submit your application. Please therefore obtain this permission before completing your application. Thank you.

Is your property a:*

House

Bungalow

Flat

Maisonette

Other

Please specify which floor your flat is on*

Do you live on a:*

Quiet road

Road with rush hour traffic

Busy main road

Near a railway line

What provision do you have for allowing the cat outside (e.g. cat flap)*

Your details*

Name

Full/Part time work, not working, retired, student etc.

Days/times absent from home

Details of any other adults (over 16 years of age) living at the address

Please provide details of any other adults who live at the address

Name

Full/Part time work, not working, retired, student etc.

Days/times absent from home

Number of children (under 16 years old) living at the address*

Please specify ages of children living at the address*

Number of children that visit the address on a regular basis*

Please specify ages of visiting children*

Do you have any existing animals living at the accommodation or that visit on a regular basis?*

Yes

Details of all animals living at the accommodation or that visit on a regular basis*

Type of animal

Breed

Living or visiting?

Age & Sex

Neutered?

Any recent illnesses?

Date of last vaccination

How long do you expect to leave the cat alone on a regular basis?*

How often do you expect to leave the cat alone on a regular basis?*

If this period is too long for the cat (e.g. kittens), would you be able to make arrangements for someone to check on the cat?

Are there likely to be any changes in the near future? (new baby, moving house etc)*

Have you booked a holiday or short break within the next 2 months that would effect your ability to adopt?*

Paying for veterinary fees is part of responsible pet ownership. These fees can be routine but also unexpected and can easily run into hundreds of pounds, or more. How will you pay for veterinary fees?*

Wages

Benefits

Savings

Insurance

Other

Have you owned a cat before?*

Yes

For how long have you owned cats and what type(s)?*

Have you adopted from the RSPCA or any other animal rehoming organisation before?*

Yes

Please provide further details of the animals you have previously adopted from the RSPCA or other animal rehoming organisations*

Have you brought an animal to the RSPCA for rehoming?*

Yes

Please provide further details on animals you have brought to the RSPCA for rehoming*

Please feel free to provide any additional information to help support your application

Are you in agreement that a volunteer makes a pre-home visit and possibly a post visit in due course?*

Yes

Keep in touch*

We’d love to keep in touch with updates about the animals in our care, our work in the community, upcoming events, and ways you can support the centre. If you choose to hear from us, we will contact you by email using the details you provide. You can unsubscribe at any time. Would you like to receive these email updates from us?

Yes

All personal information supplied by you on this application form will be processed by the RSPCA Chesterfield & North Derbyshire Branch CIO whose privacy policy is available and published at privacy notice.

This information will be held on a database at the animal centre and may be used for the purpose of the branch's re-homing process. This may involve sharing your information within the Branch and with third parties such as the National RSPCA, other RSPCA branches, veterinary practices and pet insurance companies. I am over 18 years old. The information I have provided is accurate at the time of completion.

Consent

Submitting this form confirms you understand and are in agreement with the above statement.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

More ways to support us

More ways to support us

Please note - If you do not have your landlord's permission in writing, then you will not be able to submit your application. Please therefore obtain this permission before completing your application. Thank you.

All personal information supplied by you on this application form will be processed by the RSPCA Chesterfield & North Derbyshire Branch CIO whose privacy policy is available and published at privacy notice.