Your full name *
First Name(s)
Initials *
Title
Mr
Mrs
Ms
Mx
Other
Date form filled in *
Second Applicant Name (partner, spouse, etc)
Email Address *
Door Number & Street Address *
Address additional
Lower Apartment
Upper Apartment
West
East
A
B
C
D
E
F
G
Other (please add in next field)
Address Notes
Parish *
Devonshire
Hamilton
Paget
Pembroke
Saint George's
Sandys
Smiths
Southampton
Warwick
City of Hamilton
Town of St George
Do you own or rent? *
Own
Rent (if rent, your landlord will need to confirm it's okay to have this type of pet).
Landline Home
Other phone *
Cell *
I am interested in *
A single cat
A pair
More than two
an outdoor feral or colony cat
if you are applying in respect of a specific animal, please let us know the name, details, and where you saw the animal listed.
What age cat are you looking for? You can pick more than one if you need to. *
Under 3 months
Under 2 years
Older than 2 years
Not fussed as I am interested in their personality mainly
Male or female?
Male
Female
Do not mind
Is the property where the cat will live located on a busy road? (please complete even if this will be an indoor cat). *
No Yes
What provision do you have planned to allow the cat access to outside? This is not of major significance, however we do have certain cats that must be indoor-only, or must have access to outside, so the answer will determine which ones we may exclude from matchmaking. *
Will be inside only
will go out into a public area
communal garden
own garden.
A bit about your family and home. Please select from the drop down, any that apply - more than one reply will be needed and the ones you select will appear below the box (hopefully!). You can comment further in the notes at the end. The purpose of this question is for us to avoid introducing you to an animal for adoption which would be unsuitable. *
We have young kids under 5
we have kids between 5 and 10
we have kids older than 10
We have kids visiting regularly
We have 3 or fewer adults at home
There is only me at home
We have other cats
We have no cats
We have a dog
We have several dogs
We have visiting dogs or cats into the house
We have other small animals or birds in the home
Do you have an existing dog in the house? *
No Yes
Do you have an existing cat in the house? *
No Yes
Your existing pets are.....You can pick more than one - please select as many as apply: *
Please select
Fully up to date with their vaccinations
Haven't been vaccinated since being a kitten/puppy
Have been neutered
Fully wormed and de-flead currently.
How long would the cat be left? Most cats are able to be left for a while (they probably sleep) but some need more constant attention and reassurance. This question enables us to rule out matching you with one that takes it personally every time you leave the front door. You can give more than one response *
3 or 4 hours
During the working day
Occasionally during the day into late evening
Overnight occasionally (please note you should by law not be leaving a cat unattended for more than 24 hours
I am away a lot but use a sitter
I am away a lot but the cat would go stay at the vets or a cattery.
Good with dogs: You can pick more than one - please select as many as apply: *
It is very important that the animal is good with dogs
It is very important that the animal is good with cats
It is very important that the animal is litter trained
It is very important that the animal is comfortable around children
it is very important the animal is comfortable being picked up/petted
It is very important the animal likes to play with toys
I need an indoor-only cat
I am a first time cat owner
Being good with dogs is not that important
Being good with cats is not that important
Being good with young kids is not that important
Being picked up and petted are not that important
I am a more experienced cat owner
Your ideal cat would be (choose as many as apply)
bold
adventurous
confident
friendly
playful
intelligent
thoughtful
reserved
gentle
calm
independent
lively
clingy
cute
inquisitive
Which vet do you currently use for existing pets? *
Ettrick
Endsmeet
Cedar Tree
BVS
VetSmith
No existing pets
Don't have a vet.
Declaration: do you agree that your adopted pet will receive the needed medical attention at your own expense and you are aware of the costs of preventative, routine and emergency care *
No Yes
Do you understand that this application does not guarantee that you are able to adopt a specific named animal, or any animal, from the SPCA? *
No Yes
Are you 18 years of age or older? *
No Yes
Do you understand that falsification of the above information may result in an adoption being declined or confiscation of the adopted pet. *
No Yes
Photo of your driving licence, Bermuda ID card or other Government issued ID. The application cannot proceed without this., *
Anything Else? You can either submit the form electronically, or print it and bring it in to the SPCA (Ctrl+P to print on Windows, Command+P on Mac). Your displayed answers will be on the page.
If you have a written or printed note of permission from your landlord, you can attach it here if it can be photographed. At present, the software does not allow you to attach documents, PDFs or email to this form, but you can email these (or forward them) to info@spca.bm - please mention in the email your name and address so we can link them to this application. Thank you.
You can sign electronically, either with your finger (on a touchscreen) or the mouse. If the signature comes out wrong, or indeed very wrong, you'll be asked to re-sign it later. *
Clear