* Which animal are you seeking to adopt? (Please enter the animal's name and/or number.)

* Our policy is that CATNIP staff will visit your home, with the animal, prior to any adoption. Is that acceptable?

* What is your name?

* What is your year of birth? (If you are over 30 and under 60, to the nearest decade is fine - otherwise please be specific.)

* Your e-mail address

* Please type that same email address again

* What is your full home address?
If the animal will be kept at a different address, please write that too.

Phone number

* What is your occupation or employment?

* Who is the animal you want to adopt for?

... if other, please specify

* Would you be the main person responsible for the welfare of the animal you wish to adopt?

... if not, who would be?

* What is your nationality?

* What is your visa status in Japan?

* Does everyone in your household agree with the decision to adopt an animal?

Please list everyone in your home, their ages and their relationship to you. (E.g. John Smith, 45, husband. Beth Smith, 7, daughter.)

* Does anyone in your family plan to have a baby in the near future?

* Are you or any of your family members allergic to the kind of animal you want to adopt?

* For how many hours would the animal be alone on your regular or working day?

... roughly, from what time? (indicate am/pm)

... to what time? (indicate am/pm)

* Where do you plan to keep the animal?

* What kind of environment would the animal be kept in?

* Who will look after your pet when you are away, on holiday, etc?

* What would happen to your pet if/when you decided to leave Japan?

* Would you be prepared to allow a member of the CATNIP staff to visit your home to check on the welfare of any animal you have adopted from us? [Note: we respect your home and privacy - we would do so only in exceptional circumstances.]

* Do you currently have any pets? (If you answer "no", please move on to the next section.)

* Have you kept pets before? (If you answer "no", please move on to the next section.)

* Do you live in a:

... if "Other" please explain ...

If you rent a house/mansion/apartment, OR own a mansion or apartment and are subject to a building agreement, does the contract or agreement specifically allow pets of the type you wish to adopt?

Would it be possible for us to obtain a copy of the housing contract/agreement, or your landlords agreement to your keeping pets in writing?

* How long have you lived at your current address?

* How long did you live at your previous address?

* Do you plan to move in the next six months?

* If/when you move, what will happen to your pet?

Please specify if there are any limitations to weight/size/number of animals you may keep in your building.

If you would like to expand on or clarify any of your answers in this section, please do so here.

How did you hear about CATNIP? (Select all that apply)

Other means by which you heard about CATNIP, if any...

Please add any additional information or clarifications you would like us to consider.

* CATNIP strongly advocates early-neutering. Where at all possible CATNIP cats are vaccinated, neutered and micro-chipped prior to adoption. Where this is not possible due to a cat's youth and local veterinary practices, they are adopted with a vaccination and/or neutering and/or microchipping agreement. In most cases we would pick the cat up from you, take it off to be vaccinated or neutered, then return it to you.

The exact wording of the rehoming agreement can be see in the sample document at the head of this page (don't just click it, you will lose the form contents - a link will appear in the email sent to you after you submit this form).
If you adopt a cat from NPO CATNIP...

We ask that you:

1. In principle, keep the cat indoors at all times, unless we have agreed in writing that the area is reasonably safe for outdoor cats.
2. Fit a collar, with a name-tag containing contact details, to all cats without exception.

1. I will vaccinate / neuter / microchip the animal, in accordance with the specific adoption agreement;
2. I will care for this cat in a responsible manner, as befitting a companion animal;
3. I will contact CATNIP within 24 hours if the cat should go missing;
4. I will take the cat to the vet for a checkup at least once a year;
5. If I become unable to care for this animal, I will not give it to another person without permission from CATNIP;
6. I will provide appropriate treatment for this cat in the event of illness or accident and will not allow it to suffer. When treatment is not possible or suffering is imminent, I will have the animal euthanised by a competent veterinarian.

1. CATNIP retains the right to call on the cat at any time without notice;
2. This animal is in good health unless otherwise stated. CATNIP will not be held responsible for any illness or fees incurred in the treatment of illness from the date shown on the written adoption agreement form;
3. Cats must be given annual vaccination boosters, or as advised by my veterinarian;
4. CATNIP retains the right to take an animal back into its care should its standards and conditions not be met. Adoption fees will not be refunded under these circumstances.

* Please type the code into the field below to prove you are a real person.