Application to adopt form
1. Date:
2. Name:
3. Address
4. e-mail:
5. Telephone: number:
6. Do you work
7. Are you looking for Cat/s
8. Colour preferred:
9. Do you want male or female:
10. Preferred age :
11. What experience do you have:
12. Are you looking for Indoor/outdoor:
13. Do you live near a main Road?
14. S/he will come with 5 weeks free insurance and we advise to continue with an insurance:
15. Do you have any other pets:
16. Do you any children:
17. Are you willing to travel to collect s/he if needed:
18. If there anything else you would like to tell us in support of your application:
19. I will need a vet reference as we can’t always do home checks.
20. You will need to join the Midshires cat association subscription fee is £7.50 yearly, plus £5 voluntary donation to Midshires Welfare/Rescue (The Isabel North Fund)
21. Membership formdownload fill it in and take a picture of it and send it to me as I need to send it for approval (via: msca2010@yahoo.com or WhatsApp 07742763434)
22. would you be happy to make a donation, we now have a suggested amount. Midshires Siamese Cat Association Bank account
via: Bank Transfer. reference: with your name to
Sort Code: 30.98.90 Bank Account: 17561860