1Personal Information2Household Information3Household Members4Current Pets5Veterinary Information6Cat Preferences & Care Full Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number(Required)Email Address(Required) Do you own or rent your home?(Required) Own Rent Do you have your landlord's permission to have pets? [(Required) Yes No Landlord's Name and Contact(Required)Type of residence(Required) House Apartment Condo Mobile Home Other How long have you lived at your current residence?(Required)Do you plan to move in the next 6 – 12 months?(Required) Yes No List the names and ages of all people living in your household(Required)NameAge Add RemoveAre there any known allergies to cats in your home?(Required) Yes No Please explain(Required) Do you currently have any pets?(Required) Yes No How many pets do you own(Required)How many cats(Required)What breed of cats(Required)How many dogs(Required)What breed of dogs(Required)Any other type of pets not listed above Add RemoveAre you able to keep this kitten away from current pets until the kitten has adjusted to his/her new environment(Required) Yes No Do you have a current veterinarian?(Required) Yes No Vet's Name and Clinic(Required)Vet's Phone Number(Required)Do you have funds set aside for emergency veterinary care?(Required) Yes No Are your current pets up to date on vaccinations and vet care?(Required) Yes No If not, why?(Required)Are you willing to sign up for our free 3 month health insurance plan?(Required) Yes No Do you currently own a Devon Rex?(Required) Yes No Will the cat be:(Required) Indoors Only Outdoors Only Both Please Explain(Required)How many hours per day will the cat be left alone?(Required)Where will your kitten sleep?(Required)Where will the cat stay when you're not home?(Required)Who will be the primary caregiver?(Required)Are you interested in(Required) Male Kitten Female Kitten No Preference Are you interested in adopting more than one kitten?(Required) Yes No Are you willing to commit to the care of a cat for 15 – 20 years?(Required) Yes No Will you share updates?(Required) Yes No Would you like to tell us more about yourself? (optional)
