Section 1 : About the animal...

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

This website
Fukuoka City WanNyan Yokanet

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

Yes
No

Section 2 : About you...

* 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?

Myself
A child
My whole family
Other

... if other, please specify

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

Yes
No

... if not, who would be?

...a little more about you...

* What is your nationality?

* What is your visa status in Japan?

Section 3 : About your family...

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

Yes
No

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?

Yes
No

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

Yes
No

Section 4 : What you can offer an animal...

* 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?

Indoors
Indoors and outdoors
Outdoors

* 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.]

Yes
No

Section 5 : About your current pets (if any) ...

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

Yes
No

If you have dogs, please list their names, breeds, sex (M/F) and ages.

If you have cats, please list their names, breeds ('Japan Cat' if not known), sex (M/F) and ages.

If you have other types of pets, please list their names, types, sex (M/F) and ages.

Have all your dogs/cats been neutered/spayed?

Yes
No

Have all your dogs/cats been vaccinated and are their vaccinations up to date?

Yes
No

Are all your dogs and cats in good health?

Yes
No

If you answered "No" to any of the last 3 questions, please give full details.

Do any of your dogs have a problem with aggressive behaviour?

Yes
No

If yes, please give details:

Section 6 : About previous pets (if any) ...

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

Yes
No

...if yes, please tell us a little about them (type, etc) and how they parted from you. There are no "right" or "wrong" answers in this section, so please don't be afraid to answer honestly and give the background.

Have you ever had a pet run away or die in an accident?

Yes
No

... if so, please tell us how it happened.

Have you ever given an animal away?

Yes
No

... if so, please tell us the background.

Have you had an animal put to sleep / euthanised?

Yes
No

... if so, please tell us the reason. (e.g old age, illness, behavioural problems, or specify other reasons.)

Section 7 : About where you live

... 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?

Yes
No

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?

Yes
No

* 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?

Yes
No

* 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.

Section 8 : Other Information...

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

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

Section 9 : Agreement

*

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:

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

In addition, we will ask you to sign an "Adoption Pledge". It says...

I pledge that:

I will vaccinate / neuter / microchip the animal, in accordance with the specific adoption agreement;
I will care for this cat in a responsible manner, as befitting a companion animal;
I will contact CATNIP within 48 hours if the cat should go missing;
I will take the cat to the vet for a checkup at least once a year;
If I become unable to care for this animal, I will not give it to another person without permission from CATNIP;
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.

I acknowledge that:

CATNIP retains the right to call on the cat at any time without notice;
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;
Cats must be given annual vaccination boosters, or as advised by my veterinarian;
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.

I agree.I disagree

* Please type the code on the left into the field on the right, to prove you are a real person. You can also click the speaker icon to have the code read out.

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