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Adoption Questionnaire
Please Take the time and fill out our Applicant
Information.
Just Copy and paste into an Email and forward back to
us so we are able to better assist you with the Adoption of a Cornish Rex
Kittens/Cat
from Costar & Smallcats Catteries
APPLICANT INFORMATION
NAME: _______________________________________________
ADDRESS: ________________________________________________
HOME PHONE: ___________________________________________
MOBILE PHONE: _____________________________________
EMAIL ADDRESS: __________________________________________
HOUSING INFORMATION
1) DO YOU LIVE IN A HOUSE OR APARTMENT?
2) DO YOU OWN OR RENT?
IF YOU RENT, DO YOU HAVE YOUR LANDLORD’S PERMISSION TO HAVE PETS?
PLEASE LIST YOUR LANDLORD’S NAME/ADDRESS/PHONE
3) HOW LONG HAVE YOU LIVED AT THIS ADDRESS?
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 ?
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 OR 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)
Name: __________________ Number: ________________
Name: __________________ Number: ________________
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