APPLICATION FOR KITTEN / CAT

QUESTIONNAIRE*
*This application is based on applications used by several Humane Societies before they allow a kitten to be adopted.

1. Why do you want a Maine Coon?

______ Pet _____ Show

Explain: _________________________________________________________________________________
________________________________________________________________________________________
2. Do you live in a house _____ or apartment _____

2a. Rent or own? _______

3. Who else lives in your home? ______________________________________________________________

________________________________________________________________________________________
4. If you have children, what are their ages?_____________________________________________________
5. If you have young children, do they practice the proper handling of kittens/cats? ___ Yes ___ No?
6. Do you currently have dogs, cats or other animals? ____ yes ____ no. If yes, what age and breed?_____
________________________________________________________________________________________
7. If you have other cats, are they _____ male

_____ female. Spayed/Neutered ____ yes ____ no

8. If you had other animals before, what happened to them? ________________________________________

________________________________________________________________________________________
9. Is someone home during the day? __________________ Weekends? ___________________
10. If you have to move or need to travel, what will you do with your cat? ______________________________
________________________________________________________________________________________
11. What are your feelings about the cat not being allowed outside? __________________________________
________________________________________________________________________________________
12. Will the cat be allowed on your furniture? ____________________________________________________
13. What will you feed your cat? ______________________________________________________________
14. How much will you be able to spend on the cat for veterinarian care, food, litter, toys, etc.?
Monthly ____________

Yearly? _________________

15. If you are no longer able to care for your cat/kitten due to failing health, living arrangements, etc. what
plans would you have for the cat/kitten?________________________________________________________
________________________________________________________________________________________
16. What are your feelings about declawing? ____________________________________________________
17. Are you interested in a male ____________ or female ______________
18. What color of Maine Coon Kitten are you interested in?
(A) Brown Tabby_______

Silver Tabby _______

Red Tabby _______

Patched Tabby ________

(a) With White _____ Without White ______ (b) Mackerel Tabby _____ Classic Tabby ________
(B) Black _____
(C) Adult ______

Black & White _____ Black Smoke _____

(a) Male _____ Female _____

Cream _____ Cameo ______

19. Where did you hear about MoJo Maines - Maine Coon Cats?
_______ Internet Web Site
_______ CFA BREEDER LISTING
_______ ACFA BREEDER LISTING
_______ Twitter
_______ Facebook
_______ Referred by veterinarian: __________________________________________________________
_______ Referred by owner of a Rose Petals /MoJo Maines Maine Coon Cat
A. Name of Rose Petals Cat Owner: ______________________________________________
_______ Cat Show & Location of Cat Show:____________________________________________________
20. Applicant information:
Name: _________________________________

Spouse/Significant Other: _________________________

Street Address: __________________________

(Required)

Street Address: _________________________________

(Required)

Mailing Address: _________________________

Mailing Address: ________________________________

City, State, Zip:___________________________

City, State, Zip: _________________________________

Phone #: ________________________________ Phone #: ______________________________________

E-mail address: ___________________________ E-mail address: _________________________________
Occupation: ______________________________ Occupation: ____________________________________
20. Personal Reference Name, address & phone #: _____________________________________________
_______________________________________________________________________________________
Veterinary Reference: Veterinarian Name:____________________________________________________
Clinic Name __________________________________________________________
Address _____________________________________________________________
City, State, Zip _______________________________________________________
Phone number ___________________________________________________
Applicant signature: ________________________________

Date: _________________

Comments: ______________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________