Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Type of Residence *

Single Family Home

Townhouse

Condo/Apartment

Dormitory

Do you rent or own? *

Rent

Own

Do you plan on moving in the next 6 months? *

Yes

No

Ages of children who live at the house full or part time. *

Select all applicable Categories

Infant (<1 year old)

Toddler/Preschool (1-5 years old)

School Aged Children (6-12 years old)

Teenagers (13-18 years old)

No Children

Smokers? *

Yes

No

Does anyone have cat allergies? *

Yes

No

Current pets in residence? *

Cats

Dogs

None

If you have cats and/or dogs, are they all vaccinated and fixed? *

Yes

No

Not applicable

Please provide the address of the vet you take your pets to.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you declaw your cats? *

Yes - always

Yes, but only if they won't stop clawing furniture, drapes, etc.

No - Never

Do you have a doggy door? *

Yes

No

Do you have a catio? *

Yes

No

Cat Freedom *

select all applicable

Indoor

Outdoor

Outdoor, but in a catio

Where will the cat be kept during the transition period? *

Check all that apply

Guest Bathroom

Guest Room/ Spare Room / Den

Garage

Master Bedroom

Kid's Room

Free Roam of the House