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 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE 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:

* Home Phone Number:

* Cell Phone:

* Work Phone:

* Email:

Other Applicant - (If there is one):

First Name:

Last Name:

Address:

City:

State: Select One AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE 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:

Occupations of Members of Your Household:

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

* Including yourself, list the name and age of all (human) occupants of your home?

* List the name, 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 agree to NEVER to declaw this kitten in accordance with our Health Guarantee? I will NOT declaw     I WANT to declaw

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

Do you or anyone that lives in your home (or visits frequently) smoke? 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

Please contact your veterinarian and other reference(s) and give them your permission for them to talk with us.

* Name of your veterinarian:

* Address and telephone number of the above-referenced veterinarian:

* Name of pet-related reference (someone that knows you and knows what kind of pet owner you would be):

* 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

Would you prefer a kitten or cat? Select One No Preference Kitten Cat

Ideally, when would you like to add a Persian to your household?
Select One No Preference Between now and the next three months Within the next 7 months In the next year sometime I am not in a hurry, any time is fine with me

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

If you prefer a Breeder or Show quality animal, why do you want this quality of kitten? Do you plan to show or breed this kitten?

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

* Have you read, understand and agree to our Deposit and Hold, Refunds, Forfeiture Policy? 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 Daily Supplement OR NuVet Supplement in accordance with the Health Guarantee?
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 provide us with a "registered name" for your kitten so that Pelaqita Persians can register the kitten with the Cat Fanciers' Association ("CFA")? A registered name is for registration purposes only, you may call the kitten anything you desire. For example, a registered name could be "Pelaqita Jack Be Quick" and the "call name" could be Bob, etc. 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

Would you be picking up the kitten/cat from our home or arranging for travel for the kitten/cat?

Please tell us what experience you have had with Persians, including any grooming experience:

Please tell us anything else you would like us to know about you, to help us make a decision. If you have other color choices, please indicate them in this area.