Cornish Rex Kingdom

                            

Please Take the time and fill out the Questionnaire and just copy and paste it into an Email and send back to us so we are able to assist you better with your quest in locating that special kitten.

                            

 APPLICANT  INFORMATION


NAME: ______________________________

ADDRESS: __________________________

HOME PHONE: _________________________   

MOBILE PHONE: _______________________

EMAIL ADDRESS: _______________________



 HOUSING INFORMATION

1) DO YOU LIVE IN A HOUSE OR APARTMENT? 

____House    ____Apartment

2) DO YOU OWN OR RENT? ____________

IF YOU RENT, DO YOU HAVE YOUR LANDLORDíS PERMISSION TO HAVE PETS?
(PLEASE LIST YOUR LANDLORDíS NAME/ADDRESS/PHONE)

Name _____________________

Address __________________

Number _______________


3) HOW LONG HAVE YOU LIVED AT THIS ADDRESS?

______ months _____ years


HOUSEHOLD INFORMATION

1) ARE THERE CHILDREN IN THE HOUSEHOLD?

2) DO YOU HAVE CHILDREN THAT VISIT FREQUENTLY?

3) AGE AND GENDER OF CHILDREN (IN THE HOUSE AND VISITING)

4) HOW MANY HOURS PER DAY DO YOU ANTICIPATE THE KITTEN BEING LEFT ALONE?


5) DURING THAT TIME, WHERE WILL THE KITTEN BE?

6) ARE ALL MEMBERS OF YOUR HOUSEHOLD IN AGREEMENT IN REGARDS TO THE ADOPTION OF THIS CORNISH REX AND THEIR CARE?

7) WHO WILL BE PRIMARILY RESPONSIBLE FOR THE CARE OF THIS KITTEN?

8) DO YOU OWN ANY OTHER PETS?

(REPTILES, RODENTS, AMPHIBIANS, BIRDS, ETC)


9) HOW MANY PETS HAVE YOU OWNED IN THE PAST? __________

IF YOU DO NOT STILL OWN THE PETS, PLEASE DESCRIBE WHAT HAPPENED TO THEM. PLEASE BE SPECIFIC (DIED OF OLD AGE/DISEASE, GAVE AWAY, ETC).

10) HAVE YOU EVER HAD TO GIVE UP A PET?
PLEASE DESCRIBE THE SITUATION:



SPECIFICS


1) HAVE YOU EVER OWNED A CORNISH REX ?

Yes ___  or  No ___


2) WHY DID YOU CHOOSE THIS BREED?

3) ARE YOU OPEN TO ADOPTING A SPECIAL NEEDS KITTEN?  Yes ___  or  No ___


4) PREFERENCE ON SEX, COLOR, AMOUNT OF HAIR?  

Male ______ Female ______ No Preference _____


5) DO YOU UNDERSTAND THE GROOMING RESPONSIBILITIES ASSOCIATED WITH OWNING A CORNISH REX (BOTH PHYSICALLY AND FINANCIALLY)? 

Yes _____  or  No ______

 

6) IF YOU ALREADY OWN A CORNISH REX, PLEASE LIST WHAT YOU DO DAILY AND WEEKLY TO GROOM YOUR CORNISH REX:


7) WHERE WILL YOUR NEW KITTEN SLEEP?

 


 VETERINARIAN  INFORMATION

DO YOU HAVE A REGULAR VETERINARIAN?

Yes ____  or   No _____

IF SO, PLEASE PROVIDE CONTACT INFORMATION FOR YOUR VETERINARIAN

(NAME, ADDRESS, AND PHONE-WE WILL CHECK THIS REFERENCE).

Name: ___________________________

Address: _________________________

Telephone: _________________________


ARE YOUR CURRENT (OR PAST) PETS TAKEN FOR REGULAR VET CARE ON A YEARLY BASIS? THIS INCLUDES A PHYSICAL, ALL REQUIRED SHOTS, AND TESTING?    Yes____  or   No ____


 

PERSONAL REFERENCES

PLEASE PROVIDE 2 PERSONAL REFERENCES

(ONE MAY BE A RELATIVE)

1)  Name: __________________    

 Number: ________________

2)  Name: __________________   

 Number: ________________

 


 

                           

Rhonda: 1-734-934-5167  or  smallcats@excite.com

Ginger: 1-734-556-2496 or   kittyline321@aol.com

                           

 

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