Adoption Application

Contact Information

Your Name*

First

Last

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Your email*

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Address*

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City*

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State*

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Postal Code*

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Phone*

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Co-Owner

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Co-Owner Phone

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Co-Owner Email

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ABOUT YOU

Do You Live In

House
Apartment
Condo

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Do You

Own
Rent
Other

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Please Explain

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Length of time at current address

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Length of time at previous address

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Who resides in the home with you? (Please list names and ages)

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Does anyone in your household have allergies to animals? If yes, to what and please explain how severe?

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Do any other animals reside in the home? (Please list breeds, spayed/neutered, and ages)*

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What are the breeds of animals and how old are they?*

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Are the animals up to date on their vaccinations? (Please indicate Yes or No) If No please explain why

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Have you ever returned a pet to a breeder? If so, what were the circumstances

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Have you ever given a pet away? If so, what were the circumstances

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Have you ever taken a pet to a pound or shelter? If so, what were the circumstances

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If you have cats, are your cats declawed?*

Yes
No

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Will this kitten/cat be ( mark all that apply)*

Indoor Only
Indoor/Outdoor
Outdoor
Walked on a leash

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What made you decide that a Maine Coon was right for you?

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Have you ever owned a Maine Coon Cat? (mark one)

Yes
No

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If not, do you understand that this breed of cat requires a bit more interaction, grooming and living/sleeping space than the average domestic house cat?

Yes
No

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On average, how many hours a day will your kitty be left home alone? (explain)*

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Where will this kitten/cat spend most of its time and where will it sleep?

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If your family is to leave town or take a vacation, will your kitty travel with you?

Yes
No

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If not, what type of arrangements will be made for him/her?

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Do you have an emergency care provider/sitter for your kitty if an emergency arises?

Yes
No

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If yes who?

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If heaven forbid your kitty encounters an accident/injury/or illness after leaving our care, would you have the financial resources readily available to cover any and all vet bills that could potentially exceed the sale cost of your kitty?

Yes
No

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Have you heard of TRUPANION?

Yes
No

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Would you be interested in learning more about pet insurance?

Yes
No

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What color or colors are you looking for?*

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What kind of personality are you looking for in this kitten/cat?

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Is there anything more that you would like us to know about you and your family?__

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Please provide us with a personal reference (non family)

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Phone*

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How did you hear about us?*

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Veterinarian and phone number (if none Please Write N/A)*

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