Do you presently own or have you owned any other pets?
Yes
No
If yes, what type(s)?
If yes, are they still in your home?
Yes
No
If no, please tell us why not
Are your pets (if any) vaccinated?
Yes
No
Are you aware of veterinary costs and are you able to cover them?
Yes
No
May we contact the veterinarian for your pet(s)?
Yes
No
Vet Name and Phone Number:
Where do your cats (if any) spend their time?:
Inside
Outside
Both
Have you ever had a cat de-clawed?
Yes
No
Does anyone in your household smoke?
Yes
No
Do you rent your home?
Yes
No
If yes, are cats perimitted?
Yes
No
Where will your cats go while you are on vacation? if you move away?
Are there children in your home?
Yes
No
If yes, have they handled animals before?
Yes
No
Does anyone in your home suffer from allergies?
Yes
No
Does everyone in your family agree to adopt a cat?
Yes
Yes
Your Name:
Your Phone Number:
Extra Comments?
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