Adoption Form in Word

 

 

"Pet" Adoption Questionnaire
Potential Adopters Name(s): 1)   2)  
Address(Street):   City:  
State/Province:   Country:   ZIP/Postal Code:  
Hm Phone:   Fax #:   Wk Phone:  
Email address(s):  
When is the best time to reach you?   Where and how should we reach you?  
Please list the ages and occupations of the people living in your household below:

Name:

Age:

Occupation:
1)      
2)      
3)      
4)      
5)      
Why are you interested in getting a Maine Coon? (Check all that applies below):
  Interest Why?
Companion/Pet  
Show Alter  
Breeder*  
When would you like a cat (time frame)?  
What sex/gender are you interested in? (Check all that applies below):
  Sex/Gender Why?
Male  
Female  
No Preference  
What type of kitten are you interested in? (Check all that applies below):
  Type Why?
Kitten  
Retired Breeder  
Show Cat  
No Preference  
Do you have a color preference?  
Describe any additional requirements you have in a Maine Coon kitten: 1)  
2)   3)  
Who are you getting this cat for? Self As a gift for family/friend Age:  
How many hours will this cat spend alone at home?  
Who will be the primary caretaker of this cat?  
Where will the cat stay during the ? During the night?  
Have you contacted other Maine Coon breeders? yes No Who:  
   
Are you or anyone in your household active in any animal related business/organization?
Veterinary Practice Pet store Humane Society Animal Rescue 4-H
Other:   Other:   Other:  
How long have you currently lived at your current residence?   House Condo/apt
Does your home have screens on all doors and windows? (If no answer question below): Yes No
How do you plan to ventilate during the warm, summer months while keeping your cat secure?  
If renting/coop does your landlord/homeowner’s association allow pets? Yes No
Do you plan to move in the next year? Yes No Have you ever owned a cat? Yes No
Do you have cats living with you now? Yes No How many?   What breed?  
Age:   Have they been altered? Yes No Have they been de-clawed? Yes No
Cat food brand:   Current Vaccines Yes No Litter box cleaning cycle  
Indoors only: Yes No Outdoors only: Yes No Indoor/Outdoor: Yes No
Do you presently own other pets? Yes No If so, how many Where are they?  
Do you currently have a vet? Yes No Contact Info:  
How did you hear about us? Cat show Newspaper ad Referral Other:  

*If interested in breeding, you will also need to complete our Breeder Questionnaire