For Feline #:         Feline's Name: Staff Member Assisting:
        
Your Name: E-mail:
Home Phone: Work Phone:
Street address: City:    Zip:  
How long have you resided at this address? Do you rent or own your home?
If you rent, you will need landlord approval:
Landlords Name:    Phone #: Do you live in an apartment?
Have you owned a pet before? Where did you get it?
What other pets do you have in your home now?
What other pets have you owned in the last five years?
What are the names of the pets?
What are their ages?
Was a pet given away? Why?
How many children are in the home? Their ages?
Will this pet be kept indoors, outdoors or a combination of both?
Where will this pet sleep? (Indoors or Outdoors)?
On a regular basis, how long will the pet be left alone?
Who is your veterinarian? Veterinarians Phone:  
Can you afford food? Afford Veterinary Care?  Afford Grooming?  
Is anyone living in your home allergic to pets? 
Do you have any pets at home who have not been spayed/neutered?  
If yes, why? 

 

Copyright 2004 Pets & Pals
Last revised: Jan 31, 2004