| Shelterluv

Are you over the age of 18? Yes No

Is this pet meant to be a gift? If yes, please answer the following questions from the perspective of the lucky recipient.

Do you own or rent your home:

Landlord Contact Information (write N/A if you own your home)

Please tell us about the people in this household.

i.e. The number of adults, young children, or seniors citizens.

Please tell us about any pets in the household. We have one or more dog(s) We have one or more cat(s) We have one or more small animal(s) I'm interested in information on introducing a new pet to my pet(s) in the household.

You may check all that apply.

Are all of the current cats & dogs in the home spayed or neutered? Yes No

Veterinarian's Name and Phone Number (If no animals write N/A)

Who's name is listed as owner on the vet records?

Have you ever given up a pet? If yes, please explain

Is anyone in the home allergic to cats? Yes No Unsure

Will the animal be kept inside or outside? Outside Only Inside and Outside Inside Only

Are you planning to declaw? Yes No Unsure

Sometimes emergencies happen - are you prepared for the potential cost if something comes up outside the normal expense and care or your new pet? Yes No

We'll explain this pet's medical and behavioral history. Please check any additional topics you'd like to discuss: Feeding this pet House/Litterbox training Grooming/nail trimming Exercise, toys and other fun activities Working with a trainer Microchips and other ID options Finding a veterinarian Flea/Heartworm prevention

You may check all that apply.

Please use this space to provide any other information you'd like to share or questions you may have.

Where did you learn about this cat/kitten?

*I have read and agree to the Terms and Conditions