Name:
Address:
City, State & Zip:
Home Phone:
Cell Phone:
Email Address:
Do you live in a (select one)
House
Townhome
Apartment
Other
Do you (select one)
Own
Rent/Lease
Other
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 your cats declawed? (select one)
No
Yes
What options will you provide to keep a cat from becoming distructive with their claws?
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:
Rescue Kitten 3~5 Months
Do you want a male or female?
Male
Female
Are you looking for a specific color/pattern?
What kind of personality are you looking for in the kitten/cat?
What made you decided that a Maine Coon Rescue was right for you?
What will happen to this kitten/cat when you go on vacation or in case of an emergency?
How long will this kitten/cat be left alone per day?
Where will kitten/cat sleep?
Please provide the name, phone number and address of your veterinarian:
Please provide us with a personal reference. Please include phone number and email address.
How did you hear about Rock Meadows Maine Coon Rescue? Please be as specific as you can i.e., website name, browser name 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?
