Adoption Form

1 About You

Name: First and Last

Address

City

State
-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Email Address

Phone Number

How many people live in your household?

Do you have children in the home?
-yesno

If yes, how many and what are their ages (This is to help us identify the very best kittens for your family)?

Does anyone in your home smoke?
-yesyes but only outsideno

2 About Your Home

Tell us about your housing situation.
-House - We Own ItHouse - RentApartment/Condo - OwnApartment/Condo - Rent

How long have you lived at your current address?

Do you have plans to move?
-yesno

Do you have any of the following? Check all that apply.
BackyardPatioPet DoorUnscreened WindowsUnscreened Doors

3 Kitten Preferences, Care and other Pets

Will this be your first pet?
-yesno

Do you currently have other pets?
-yesno

Have you ever given a pet back to the breeder or surrendered it to a shelter?
-yesno

Why are you considering adopting a Siberian?

Does anyone in your home suffer from cat allergies?
-yesno

Are you considering having your cat declawed?
-yesnomaybe

Disposition Preference:

How many hours a day will your cat be alone?
-I work from home< 4 hours per days< 10 hours per days> 10 hours per days

Does your job require out of town travel?
-yesno

Do you have a color or pattern preference?

Are you planning on keeping your cat indoors?
-yesnoyes, but with access to a secure catio