Rehoming assistance form – Cat
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Home address?
*
Which suburb is the cat located?
*
E-mail
*
Name of the cat you need assistance with rehoming
*
Reason you are needing to rehome your cat
*
Are you able to assist with transport once a foster home is found?
*
Yes, I can assist with transport
No, I can not assist with transport
Age & Birthday of your cat
*
Age
Age or DOB
Breed of your cat
Weight of your cat
Sex of the cat
*
Male
Female
How long have you owned your cat?
Is your cat friendly with other cats?
*
Yes, all cats
Yes, selective
No
Unsure
Is your cat friendly with dogs?
*
Yes
No
Unsure
Is your cat friendly with children?
*
Yes, all ages
Yes, older than 10 only
No
Unsure/untested
Is your cat an inside cat?
*
Inside Only
Outside Only
Inside & Outside
Unsure
Is your cat litter box trained?
*
Yes, all the time
Sometimes
No
Unsure
Does your cat have any behavioural issues?
*
Yes - see below for details
No
Unsure
Please describe your cat's behavioural issues in as much details as possible
Does your cat have any medical issues?
*
Yes - see below for details
No
Unsure
Please describe type of medical issues your cat has
Has your cat had any vetwork done? Please select all that are applicable from the list below.
*
Desexed
Microchipped
Vaccinated (in the past year)
Worm treatment monthly
All of the above
None of the above
Please provide name and dates of above flea, worm & tick treatments (Eg: Advocate 01 July 2017)
Date of last known vaccination
-
Day
-
Month
Year
Date Picker Icon
Please upload a copy of the vaccination certificate (if available)
Do you consent to HT contacting your vet for your pets history?
*
No I do not
I don't have a regular vet
Yes I do (please write name of vet below)
How urgent to you require assistance?
*
Very urgent - within a week
Moderately urgent - within two weeks
Not urgent
I have a deadline (please type date you need the cat rehomed in other box below)
Where did you originally source your cat from?
A registered breeder
Unregistered breeder
Gumtree
Pet store
Facebook
A gift
RSPCA
AWLQ
A Rescue Group
Additional comments
Photo of your cat (clear, front on are best)
Photo of your cat (clear, front on are best)
Photo of your cat (clear, front on are best)
Please sign ownership of your animal to Happy Tails Animal Rescue Inc.
*
Clear
Submit
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