Your Name:
Address:
Address:
City:
State:	Zip:
	Your Employer Information
Your employer name (If self employed-What is the name of your company):
Address:
City:
State:	Zip:
	Spouses Name and Employer Information
Spouse name:
Name of spouses employer (If self employed- what is the name of your company):
Address:
City:
State:	Zip:
	Personal Information
Email:
Home phone:
Cell phone:
Work phone:
Other adults living in Home:
Children in household:
Housing description:
Do you Rent or Own?
How long have you lived at this address?
Plans to move (Yes/No)
	Veterinarian Information
Name:
Name of Vets Animal Hospital:
Address:
City:
State:	Zip:
Vet phone:
Email:
Web site:
	Kitten/Cat Care Information
Allergies (Yes/No) Explain
Active Military/Reserves (Yes/No)
Frequent travel (Yes/No)
Where will this kitten/cat be kept during the daytime?
Where will this kitten/cat be kept during the nightime?
How many hours a day will the kitten/cat be without human contact?
How many hours a day will kitten/cat be outside?
Will this cat/kitten be declawed?
What is the purpose the adoption? Pet /Mouser/ Show Alter/ Breeder/ Gift
List both Past and Present Pets Describe what happened to previous pets.
Explain what you know about the Siberian Cat.
Are you looking for a Cat or Kitten?
Male or Female or no preference?
Color preference?
Additional Comments:
By submitting this application you are giving Kitails permission verify all information given.

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