Name: Date:
Address: Apt#:
City:State:
Phone Number
Email Address:
Number of adults in your household: Number of children in your household:
Their ages:
How long have you lived in your current residence: Rent  Own 
If renting, does your landlord or homeowner's association allow pets? Yes No
Are you planning on moving in the next year? Yes No
Are you interested in getting a Maine Coon as a:
When do you want a cat/kitten?
Are you interested in a Male Female No Preference?
Are you interested in a
Do you have a color preference?  YesNo  If yes, what color?
What pattern?
Describe any additional requirements you have in a Maine Coon Cat/Kitten.

Are you getting the cat for yourself as a gift for someone else?
How many hours in a day will the cat/kitten spend alone at home?
Where will the cat stay during the day?
Where will the cat stay during the night?
Who will be the primary caretaker for this cat?
Have you contacted other Maine Coon Breeders?Yes No    If yes, who?
Have you ever owned a cat/kitten before? Yes No  If yes, how many?  
What breeds?  
How old are they?
Are they altered? Yes No
Are they declawed Yes No
Are they in good health Yes No
Are they current with their vaccinations Yes No
Are they (select one):
If indoors, how often do you clean litter boxes?
Do you presently own other animals (dog, rabbit, etc)? Yes No
If so how many? What are they?
Do you currently have a veterinarian? Yes No
May we contact them for a reference? Yes No
If yes, please give us their name and telephone number.
How did you hear about us?
Cat Show?
Referred by someone? Who
Web Site? If not ours, who's?
If you have any other comments that you would like to share about yourself or why you think you could provide the ideal home for one of our cats/kittens.

 

 
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Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: November 15, 2001