Birman Request/Inquiry Form

Kitten/Cat Pre-Adoption Application

It is important that every 9 Bells Birman placed in a home be assured that its best interests and those of the adoptive family are being met. The following application must be completed fully and truthfully and will help determine the best match based on the information provided herein and available kittens. Filling out this form does not guarantee that a kitten/cat will be reserved for you.

Your first and last name:
Spouse's Name
If married, how long
Street address:
City/State/Zip:
Home phone:
Email address:
Occupation: (You/Spouse)
Employer: (You/Spouse)
Work phone: (You/Spouse)
Who is your Veterinarian?
Veterinarian's phone:
Do you own or rent your home?	Own Rent
Apartment/Landlords Name
Apartment Office/Landlords Phone
If you own, does the HOA have any restriction on pets	Yes No If yes, what are the restrictions
Are you planning on moving soon ?	Yes No
Where will the kitten/cat stay during the day?
Where will the kitten/cat stay at night?
Do you have a pet door to the outside?
Is your yard fenced?
How long do you plan to keep this pet ?
How long have you been thinking of adopting ?
Who is this pet for?
Does anyone in your home have allergies ?
Have all adults in the house agreed to adopt ?	Yes No

List the dogs &/or cats you have had in the past 5 yrs or presently have.
If there are more than five, use the space at the end to list any additional pets, or to list pets other than cats/dogs.

Months/Years Owned	Breed	Pet Spay/Neutered?	Where was this animal kept ?	Do you still have the pet?	If not, what happened to him/her? If deceased, give date and cause.
		Yes No	InOut Both	Yes No
		Yes No	InOut Both	Yes No
		Yes No	In Out Both	Yes No
		Yes No	In Out Both	Yes No
		Yes No	In Out Both	Yes No

What do you want a cat to be ? Indoor Outdoor Both

Are any pets you still have current on their vaccinations ? Yes No

Please tell us who lives with you
Will any children live with the cat? Yes No
Please list everyone's age and relationship to you?

Tell us about the cat you would like to adopt :

Gender: Male Female Not important

Age: Kitten Retired Adult Not important

Color? Not important

Preferences Cuddly Independent Playful De-clawed

Please check which situations would cause you to wish to return this pet ?

Allergies Moving Change in marital status Graduation New Baby Destructive behavior

Aggressiveness Vacation plans Vet Bills Housetraining Job change

Not getting along with current pets Children not taking care of it

Please check all the reasons why you are wanting this pet ?

My Companion Rodent Control Show cat Current pet's playmate Children's playmate

Use this space If there is anything you would like to explain or ask.

Please Note : All cats and kittens will be spayed or neutered before going to their new home.

By clicking the SUBMIT APPLICATION button you are certifying that all your answers are true and correct.