Today's Date *
How did you hear about us? * Select One Google Other Search Engine Friend Other
This Application is for? * Select One Only Me Two Owners
Physical Street Address *
City *
State *
Zip Code *
Mailing Street Address (if different than above)?
City (Mailing)
State (mailing)
Zip Code. (Mailing)
Phone Number Applicant 1 (land line) *
Cell Phone Applicant 1 *
Employment Status * Select One Employed Not Employed Student Teacher (active or retired) Police (active or retired) Military (active or retired) Fireman or Firewoman (active or retired) Nurse (active or retired) Social Worker (active or retired) Work from home Do not work outside the home Disabled, retired, etc.
If employed or retired, please tell me what you do or did? *
Phone Number (land line)
Cell Phone Number
Applicant 2 Email
Employment Status (applicant 2) Select One Employed Not Employed Student Teacher (active or retired) Police (active or retired) Military (active or retired) Fireman or Firewoman (active or retired) Nurse (active or retired) Social Worker (active or retired) Work from home Do not work outside the home Disabled, retired, etc.
If employed or retired, please tell me what you do or did? (applicant 2)
Housing * Select One House Condo Apartment Townhome
Including yourself, please list the name(s) and age(s) of all HUMAN occupants of your home? *
List the name(s), the age(s), and species in your home or who visits regularly and will come into contact with this kitten? *
Provide me with the name and telephone number of your veterinarian. PLEASE CONTACT THEIR OFFICE AND GIVE THEM PERMISSION TO SPEAK WITH ME ABOUT YOUR PET(s)? If you do not yet have a vet, please indicate so in the box below. *
Provide me with the name, and telephone number of any PET RELATED reference and you knows you and knows what kind of pet owner you are (or would be). *
Would you prefer a: * Select One Kitten Adult No preference
Ideally, when would you prefer to add a Persian to your household? * Select One Between now and six months Between seven months and one year I am in no hurry
Pet Quality - regardless of the quality and comes already altered. Pelaqita Persians is no longer working with any breeder or show homes. *
Who will be the primary caregiver for this kitten or cat? *
How many hours (on average) per WEEK will this kitten or cat be alone? *
Where will this kitten or cat be kept during the day and during the night? *
What experience have you had with Persians, including any grooming experience? *
Use the space below to tell me anything else about yourself that you would like me to know.
