Name:
Address:
City, State & Zip:
Home Phone:
Cell Phone:
Email Address:
Do you live in a (select one)
Do you (select one)
Length of time at current address?
Length of time at previous address?
Please list all people in the household, including ages:
Does anyone in your household have allergies to animals? If yes, to what and how severe?
Do you own any other pets? If so, are they spayed/neutered? Are they up to date on their shots? Please list species, breed and ages for each:
Previous pets - where are they now, and how long did you have them, circumstances of death?
Have you ever returned a pet to the breeder? If so, what were the circumstances?
Have you ever given a pet away? If so, what were the circumstances?
Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?
Are you cats declawed?
Do you intend to declaw? Please provide your feelings on declawing.
Will this kitten/cat be:
Have you ever owned a Maine Coon before? If yes please tell us about your Maine Coon.
Are you interested in a:
Do you want a male, female
or no preference?
(select all that apply)
Are you looking for a specific color/pattern?
What kind of personality are you looking for in this kitten/cat?
What made you decide that a Maine Coon was right for you?
What will happen to this kitten/cat when you go on vacation or in case of an emergency?
How much time will this kitten/cat be left alone per day?
Where will this kitten/cat sleep?
Please provide the name, phone number and address of your veterinarian:
Please provide us with a personal reference:
How did you hear about Rock Meadows Maine Coons? Please be as specific as you can i.e., website name, browser name, breed listing, met at a cat show etc. This information will help us with our advertising.
What did you like most about our website?
Do you have any additional comments or questions for us?
