Cat Adoption Form

Cat Details

Enter details from the kennel paperwork

Adoption Details

Staff / Volunteer Name *

Please enter your name

Adoption Date *

Required

Identification

Shelter ID *

Required — must be 6 digits

Cat's Name *

Required

Microchip Number *

Required — must be exactly 15 digits

Date of Birth

Approximate Age

Description

Breed *

Required

Colour *

Required

Sex *

Required

Desexed

Package *

Required

Price

$

Please confirm cat’s price with the new owner.

Carrier

Provided Purchased Price $

Veterinary Dates

IMPORTANT: Please confirm these dates are correct and change if they are not. Please discuss the dates with the new owner.

Last Vaccination Date

Next Vaccination Due *

Required — discuss with new owner

Last Flea Treatment Date

Next Flea Treatment Due *

Required — discuss with new owner

Last Worming Date

Next Worming Due *

Required — discuss with new owner

Suture Removal Date (if applicable)

New Owner Details

Owner to complete their own contact information

Personal Details

Title

First Name *

Required

Surname *

Required

Address

Residential Address *

Required

Suburb *

Required

State *

Required

Postcode *

Required — must be 4 digits

Council / Municipality

Contact Details

At least one contact number is required.

Mobile

Please provide at least one contact number

Home Phone

Email Address *

Valid email required

Alternate Contact

If unable to provide an alternate contact, please put Cat Haven — the phone number will fill in automatically.

Alternate Contact Name

Alternate Contact Phone

Health & Microchip

Staff to complete this section — review kennel paperwork before proceeding

FIV/FeLV Test

This cat is considered to be a HIGH risk so has been tested for FIV/FeLV. The result was:

N/A (not tested) Negative Positive

Special Food

Cat/Kitten requires special food Type:

Health Conditions

Does this cat have any documented health conditions or waivers?

No Yes

Health condition / waiver details (from kennel paperwork)

Medical follow-up at Cat Haven Vet Clinic required?

No Yes

Microchip Registry (Change of Ownership)

Does this cat have an existing microchip registration with a registry?

No Yes

Select which registries apply (check kennel paperwork):

AAR (Australasian Animal Registry) CAR (Central Animal Records) Global Micro Animal Registry

Acknowledgements

New owner to read and tick each item

Signature

New owner to sign below using finger or stylus

New Owner Signature

Sign here with finger

Review

Check all details before submitting

Cat Details

Veterinary Dates

New Owner

Health & Microchip

Staff Checklist

For staff use only — not shown to or completed by the new owner.

Health & Physical Check

I confirm that I have scanned the cat's microchip and it matches number —

ID Check

I confirm the new owner has provided valid photo ID that matches their address details and is 18 years of age or older Verified not on the Cat Haven Customer Check List

Adoption Information Covered

SET UP — Basic items needed including food, bowls, litter/trays/scoops, beds, scratching posts, toys, etc.

FOOD — Discount provided with adoption, why Cat Haven recommends Hills food, understanding the correct amount.

SETTLING IN — Understanding how to safely settle a cat/kitten into a new home. The importance of confinement in a small room for at least a week (possibly longer depending on the cat).

INTRODUCTION TO OTHER PETS/CHILDREN — Once the cat has settled in they must be given a slow gentle intro to young children and any other pets using recommended steps. Explained this is covered in detail in the Cat Haven Adoption Booklet available online.

VET CONSULTS — Two weeks free vet consults at Cat Haven Vet Clinic by appointment. Hills food condition applies.

MICROCHIP — What company the cat is registered with and the importance of updating details if they ever change.

VACCINATIONS — When the cat is next due for its vaccination. See vax card.

STERILISATION AFTERCARE — Advised new owner how to monitor the sterilisation site, what to look out for (licking, infection, etc.), when stitches need removing and how to book at local vet.

FLEA AND WORM TREATMENT — Explained the discount available at adoption and the importance of keeping both up to date.

COUNCIL REGISTRATION — Explained the legal requirement to register with local council and how to do it.

RETURN POLICY — Informed the new owner that if for any reason they can no longer keep their cat/kitten, Cat Haven will always take the cat/kitten back for rehoming. Emphasised this is a much safer option than social media or other avenues.

I confirm I have covered all of the above with the new owner and the adoption form has been signed.

Submission

Staff / Volunteer Name *

Please enter your name

✅

Adoption Submitted

The adoption for has been added to the pending queue.
Please walk the new owner to reception with their kennel paperwork.