Name:

Significant other :

Address:

City:                           

State:

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY        Zip:

Phone (home): Cell/Other:

E-mail:

Occupation:

Significant Others Occupation:

Employer:

Significant Others Employer:    

PERSONAL REFERENCES

Name:

    Phone:

     Relationship:

Name:

    Phone:

     Relationship:

1. Do you live in a House Condo Apartment Mobile Home Military Other    (If other, please specify)

2. How long have you lived there?

(If less than 2 years, please give previous address)

3. Do you rent? Yes No

4. If you rent does your landlord’s allow pets?    Yes No

5. May we contact your landlord? Yes No    

Landlord’s name Phone

6. Name of veterinarian/animal hospital

7. How much per month are you able to spend on medical care? $

8. Would you object to us visiting your home? Yes No

9. How many hours per day will your kitten/cat be left alone?    

Where will your kitten/cat be kept during this time?

10. Will the cat be kept? Outdoors Indoors Both (If both, please explain)

11. Where will you keep your litter box?

12. Is anyone in your household allergic to animals? Yes No    If “yes” are they on medication that can control the allergies? Yes No

13. Have you owned a cat before? Yes No If “yes” what happened to them? (If deceased, please state cause of death and how long ago)

14. What do you know about Bengals?

15. Do you currently own any animals? Dog/s Cat/s Other How many?

16. When were they last taken to the vet? Reason

17. List the names and ages of all children living at home

18. Who will be responsible for feeding, grooming, and training your new pet?

19. How will you handle problem behaviors, such as clawing furniture, digging in potted plants, etc?

20. How will you provide for your cat when you are out of town?

21. What will happen to your cat if you move?
                Locally          
                Out of state
                Overseas     

22. What type of diet will you feed your cat? Select all that apply
                Raw (type) Canned(brand) Dry (brand) Table Scrabs

23. Under what circumstances would you not keep this cat?
                Divorce Move New Baby New Job Illness Other (specify)

24. Do you plan to de-claw your cat? Yes No

25. What is your favorite characteristic about the Bengal Breed?

26. What websites have you visited to educate yourself on the Bengal breed?

27. What pattern and color of Bengal are you looking for?

28. What is the origin of the Bengal breed, i.e., what wild cat are Bengals derive from?

29. How did you hear about us?

30. Cats can live longer than 15 years and taking excellent care of their health (nutrition, litter, etc)
can amount to over $1200 per year. Are you prepared to accept this kind of responsibility for their ENTIRE life? Yes No

25. Why do you want a Bengal? (please number as many choices as apply in order of importance:1,2,3…)

Companion

To impress others/Decoration

For children

For spouse

As a gift

For other pet

To show

To breed

Catch mice

Other

(specify)

Thank you for completing this application.

 

If you have any questions for us, please feel free to contact us. We look forward to helping you find the perfect Bengal for your family.