Persian Kitten Application

Personal Information

* Date:

* How did you hear about us? Select One Google Yahoo MSN Bing Other Search Engine Referred by friend Just Surfed In Other

* First Name:

* Last Name:

* Address:

* City:

* State: Select One AK AZ AR CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT EN NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

* Zip Code:

* Phone Number:

Cell Phone:

Work Phone:

* Email:

Other Applicant - (If there is one):

First Name:

Last Name:

Address:

City:

State: Select One AK AZ AR CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT EN NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip Code:

Phone Number:

Cell Phone:

Work Phone:

Email:

Housing and Household Information

Home: Select One House Condo/Townhouse Apartment

If renting, do you have permission from your landlord to have a pet?
Yes No

Have you ever owned a cat before? Yes No

Have you ever owned a Persian before? Yes No

* Besides yourself, list the name and age of any other occupants of your home?

* List the breed, species, and age(s) of any other pets in your home that will come into contact with this Persian:

Does anyone in your household have allergies to cats? Yes No

If yes, to the preceding question, how severe are those allergies:

Do you plan to declaw this kitten? Yes No

Will this kitten be kept only in-doors? Yes No

Have you ever returned a cat or dog before? Yes No

Have you ever given an animal away or relinquished an animal to the pound or animal shelter? Yes No

References

Name of your veterinarian:

Address and telephone number of the above-referenced veterinarian:

Name of pet-related reference:

Address and telephone number of the above-related reference:

May we contact your veterinarian and pet-related reference? Yes No

Kitten Preferences and Care of Kitten

Do you have a preference for the sex of the kitten?

Select One No Preference Male Female

Do you have a color preference Select One No Preference Yes No

If you have a color preference, choose your first choice color preference Select One Black and White Red and White Cream and White Blue and White Black Blue Red Cream Calico Dilute Calico Tortoiseshell Brown Tabby and White Blue Tabby and White Brown Patch Tabby and White Red Tabby and White Cream Tabby and White Brown Tabby Blue Tabby Red Tabby Cream Tabby Brown Patch Tabby Blue Patch Tabby

Second color preference Select One Black and White Red and White Cream and White Blue and White Black Blue Red Cream Calico Dilute Calico Tortoiseshell Brown Tabby and White Blue Tabby and White Brown Patch Tabby and White Red Tabby and White Cream Tabby and White Brown Tabby Blue Tabby Red Tabby Cream Tabby Brown Patch Tabby Blue Patch Tabby

Third color preference Select One Black and White Red and White Cream and White Blue and White Black Blue Red Cream Calico Dilute Calico Tortoiseshell Brown Tabby and White Blue Tabby and White Brown Patch Tabby and White Red Tabby and White Cream Tabby and White Brown Tabby Blue Tabby Red Tabby Cream Tabby Brown Patch Tabby Blue Patch Tabby

What quality kitten do you prefer? Select One Pet-spay/neuter contract Breeder Quality Show

Have you read our Contract/Health Guarantee? Select One Yes No

Are you willing to abide by the Contract/Health Guarantee?

Select One Yes No

Are you willing to continue to feed this kitten/cat Life's Abundance cat food in accordance with the Health Guarantee?

Select One Yes No

Are you willing to continue giving this kitten/cat the Life's Abundance Supplement OR NuVet Supplement throughout its life?

Select One Yes No

Who will be the primary caregiver for this kitten?

Is anyone home during the day Yes No

How many hours (on average) will the kitten be left alone?

Where will this kitten be kept during the day?

Where will this kitten be kept during the night?

Are you willing to finish registering this kitten with the Cat Fanciers Association (the litter is registered with the Cat Fanciers Association, but you have to register the individual kitten in your name)? Yes No

Are you willing to provide this kitten with the proper care and nutrition throughout its lifetime as outlined in the Health Guarantee? Yes No

Are you willing to keep current any vaccinations as required by your veterinarian or by local law? Yes No

Please tell us anything else you would like us to know about you, to help us make a decision.