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The following questions comprise an application to obtain a cat or kitten from Jasper Ridge
Siberians. The questions are meant to assist us in knowing as much as possible about you and
your home so we can make the best placements for our kittens and cats. Please copy this and fill
in your answers using an e-mail or word processing program. The application can then be
printed and snail mailed or sent pasted into the body of an email or as an attachment.

  1. Name(s) of potential adopter(s):
  2. Address, City, State or Province, Country, Zip or Postal Code:
  3. Home Phone, Fax Number, Work Phone, Email address(es):
  4. Is e-mail a convenient way to reach you. If not, when is the best time to reach you by
    phone and at what number?
  5. List the ages and occupations of the people living in your household:
  6. Why are you interested in getting a Siberian? (List as many reasons as apply, i.e. because
    of what I’ve heard of their disposition/personality, allergies; to have as a companion, pet,
    show alter,):
  7. Are you interested in a kitten, retired breeder/show cat, or either?
  8. If you are interested in a retired breeder or show cat is there a maximum age you are
    interested in? Could you take a cat that needs to be the only pet (the only cat, and with no
    dogs)?
  9. When do you want a cat/kitten?
  10. Are you interested in a male, female, or no preference?
  11. Do you have a color preference?
  12. Describe any additional requirements you have in a kitten/cat:
  13. Are you getting this cat for yourself or a gift for someone else?
  14. Who will be the primary caretaker of this cat?
  15. Will the cat be: indoors only; indoors/outdoors; outdoors only?
  16. How many hours will this cat spend alone at home? Where will it be during this time?
  17. When the cat is not alone: Where will the cat stay during the day? During the night?
  18. Are you or anyone in your household active in any animal related business or organization
    (i.e., veterinary practice, pet store, humane society, animal rescue, 4-H, etc.)?
  19. Describe your current living situation.  How long have you lived in your current residence?
    Do you rent or own? Do you live in a house, mobile home, apartment/coop/condo? If
    renting or in a coop/condo/etc, does your landlord, board or homeowner's association
    allow pets?
  20. Does your home have screens on all doors and windows?  If not, how do you ventilate your
    home during the warm, summer months?
  21. Are you planning on moving in the next year?
  22. Have you ever owned a cat before?
  23. If yes, how long did you have the previous cat(s)? What happened to it (them)?
  24. Were the previous cats:    Altered? ____    Declawed? ____    Indoor, indoor/outdoor or
    outdoor cats? ____________
  25. Do you have cats living with you now? If yes: How many?  _____  What breed(s)?
    _____________ How old? ____  Are they altered? _______ Are they de-clawed? ____ If
    not, do you clip their claws yourself?
  26. Are they in good health?
  27. What kind of cat food do you feed them?
  28. Are they current with their vaccinations?
  29. Are they indoors only? Indoor/outdoor? Outdoor only? _______  If indoors, how often do
    you clean litter boxes?
  30. Do you presently own other animals?
  31. If yes, how many? What are they?
  32. Do you currently have a veterinarian?  If yes, please give us the name and telephone
    number and permission to contact.
  33. How did you hear about us? Cat show, newspaper ad, referred by someone (who?)
  34. Feel free to add any other comments that you'd like to share about yourself or why you
    think you could provide the ideal home for one (or more) of our kitties.

Disclaimer: We cannot guarantee a cat/kitten to everyone who fills out this questionnaire. It is
simply a form designed to help us evaluate potential adoption applicants and their environments
for the placement of our cats/kittens. We delivered these babies and their well being is our top
priority.

Thank you very much for your patience.

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Jasper Ridge Siberians
Kitten/Cat Application