Last Litter Application

Please read about our Last Litter Program before completing

Full Name

Street Address

Suburb/Town

Phone

We need details of the Mother, in order to assist with desexing (if accepted into the program)

Are you the legal owner?

Have you read the information and criteria for our last litter program?

Are you keeping the Mother?

Pet Name

If accepted, these details will be used to book the mother in for desexing

Species

Breed

Sex

Age

When was the mother last vaccinated?

When was the mother last wormed?

Is she microchipped?

How many kitten/puppies?

DOB/Age of kittens/puppies?

Sexes if known

Do the kittens/puppies have any medical issues?

Do the kitten/puppies have any behavioural issues?

Describe the behaviour/socialisation of the kittens/puppies? Describe if they've interacted with other cats/dogs/children?

Have they received any vetwork/worming etc (Please provide details)?

Is there anything else you would like us to know?

Please upload a photo of the kittens / puppies

I confirm that I am over the age of 18

I confirm I understand the conditions of the program