Contact Information

First Name

Last Name

Street Address

Suburb

State

Postcode

Email

Preferred Contact Number

Mobile

Please enter mobile number in the following format: "04xxxxxxxx"

Home Phone

Please enter phone number in the following format: "02xxxxxxxx"

Work Phone

Please enter phone number in the following format: "02xxxxxxxx"

	Yes	No
Are you an Australian citizen?
If no, are you a permanent Australian resident?
If no, are you on a visa?
Have you owned a cat previously?
Have you adopted from Cat Protection previously?

If you have already adopted from Cat Protection, when?

	Yes	No
Have you ever given an animal to a pound or shelter?

If you have ever given an animal to a pound or shelter, were they

	Yes	Not yet, but I will	I haven't thought about it
Do you have an alternative home for your cat should your situation change?

Privacy Policy

Your personal information is treated as confidential and we are committed to protecting your privacy. We will never sell or rent your information to a third party. For a copy of our privacy policy, please refer to this page.

Disclaimer and Signature

I permit Cat Protection to phone or email me to ask how my new feline/s are settling in or to make further adoption enquiries. I understand that I must be over the age of 18 to adopt a cat and confirm that I am over 18 years old. I understand that I will need to present photo identification showing my date of birth and proof of current address at my adoption appointment. I certify that, to the best of my knowledge, the information I have provided is true and that any information found to be false may result in my application for adoption being refused.

PRINT NAME