Rehoming assistance form

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
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
Should be Empty:

Rehoming assistance form – Cat