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Zip Code



Complete Address:

Rent              Own

Daytime Phone

Evening Phone

Email Address

Landlord or Apt Complex Name

Daytime Phone Number of Landlord

I want this pet for:          Breeder       For Child           Gift        Family Pet       Companion for Pet

Do ALL members of household want a new pet?     Yes          No

If no, please explain:

How many adults are in the household?           Children?             Children’s ages:

Are you over 18 years of age?     Yes          No

Are you a student?     Yes          No

Do any members of the household have allergies specific to animals?     Yes          No

If yes, please explain:

Veterinarian’s Name:

Vet’s address:

Vet’s phone number:

May we phone your veterinarian for a reference?     Yes          No

Please list your current pets residing at your home (including any other roomates pets as well):

Type of Pet                       Breed                   Age    Sex           Altered            Owned for # yrs.

                                                                                    Yes          No

                                                                                    Yes          No

                                                                                    Yes          No

Have you owned any pets in the last five years not listed as current?     Yes          No

If yes, please explain

Can your veterinarian verify vaccination history on current or past pets?Yes          No

If no, please explain:

Have you relinquished any pets before?     Yes          No             If yes, please explain including to

whom, why and when:

Where will your new pet be kept while you are home?

Where will your new pet be kept when you are NOT home?

In a 24 hour day, how long would the pet be left alone at any given time?

Have you any experience purchasing a kitten?     Yes         No

If yes, please describe including the age of the kitten:

Will this kitten share a litter box?     Yes          No              If yes, how many litter boxes will be

Provided?                                  Location of each litter box?

How often is it scooped?                          Changed?                      Cleaned?

Remember, you are applying for a lifetime companion of unparalleled quality and character: are you willing to make the investment in both time and finances (up to $2,000 annually) to care for and properly manage your new pet?     Yes          No

How much time do you need to prepare for your new pet before taking it home?

Would you be willing to allow a representative from A Wild Side Cattery to make a home visit at a mutually agreed upon time?     Yes          No              If no please explain:

We hope that you have thoughtfully considered each of the questions asked. Once again, the purchase of a life-long animal friend should not be impulsive, but rather a carefully made decision which will ensure a loving, lasting relationship. Thank You for taking the time to complete this application!


Date of Application