Your Full Name Email Address Address Line 2 Town County Eircode Phone Number Minimum Age I confirm I am 21 or older Is there a particular cat that you are interested in? Why do you want to adopt a cat & what age/gender cat would you prefer? Are you the lead of the household in which you live? Yes No If NO, is the lead of the household happy to sign adoption papers for the cat? Yes No Type of Property Apartment House Other Home Status (Please tick relevant box) Home Owner Renting (Private) Renting (Council) Renting (Housing Association) If renting how long you lived at this address & do you have permission from your landlord to have a cat? Do you have a garden? Yes No Do you live near a busy road? Yes No Do you plan on moving any time soon? Yes No Do you have children, what age? 1-5 6-12 Teenagers None Are these children used to cats? Yes No Is there anyone in the family that suffers from allergies or asthma? Is there anyone in your house scared or nervous of cats? Is everyone in your household in agreement to adopting? How many people live in your home? Do you already have pets? None Dogs Cats Poultry Others If you currently have no animals, have you ever had pets before? Yes No If Yes, tell us briefly about them Where will the cat sleep by day? Where will the cat sleep by night? What are your working arrangements? Have you got holidays planned over the next six months? Are you in agreement to a home visit/video call by H.A.R.T? Yes No If there is any further information you would like to provide us with regards to your situation please provide it below. Adoption Fee I understand there is an Adoption Fee payable at the start of the trial which will be refunded if the trial does not work out. Personal Information I agree that H.A.R.T. can share my information with it's team of volunteers. Send Application
