First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Cell Phone

Alt Email

Please provide us with a contact phone number.*

What is the best time of day to contact you?

Please list your current occupation. *

Please list your date of birth. *

Do you own or rent your home?*
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number. (If you do not list a contact number, your application may be denied.) If you do not rent, please put N/A. *

If you rent, have you received the approval of your landlord to have a pet?
Choose one: Yes No

How long have you been at your current location? If less than a year, please list your previous address. *

How many people reside in your household? If you have children, please list their ages. *

Does anyone in your household have allergies? If so, what type?*

Would you be willing to submit to a home visit or video chat?

Have you ever given up a pet? If yes, please explain*

How many other pets have you owned in the past 5 years? Please list the type of pet and their age. If they are no longer in your care please list why. (If you had to rehome them, please list why and what happened. If they passed away, please explain how they passed.)*

Please list the type of pets that currently live in your home. Please list their name and age. *

Are your current pets spayed and neutered?

How do your current pets react to cats?

Do you have a room in your home you plan to use as an introduction space? If so, what room? *

List at least one reference (who is not a family member or your veterinarian). Please list their relationship to you.*

Please provide us with your personal reference's phone number.*

Please list all Veterinarian Clinics you have used. This should include current and past Veterinarian Clinics. (Note: If you have moved, we will need you to provide your previous Veterinarian's name and phone number. Please note that not providing the requested information may result in delays in processing your application or your application being denied.)*

Please list the phone numbers for all the Veterinarian Clinics you have listed above.*

Some vets require your authorization before they release their records to us. Have you called and given your vet permission to speak to us? (Please understand that not doing so can delay the processing of your application)

Will the animal be kept inside or outside?*
Choose one: Inside Only Outside Only Inside and Outside

Does your home have a dog door?

Why are you interested in adopting a pet at this time?*

Have you owned a Maine Coon before?

How much time will the animal spend alone during the day?*

What is the name of the cat you are interested in?
Choose an animal: AL - Loki (CP) CA - Jamie (CP) CA - Jax (MCR) CO - Chucky (CP) CO - Jordan (CP) FL - Autumn Hazelnut (CP) GA - Apollo (CP) *FIV+* GA - Olaf (CP) GA - Toupee, Penny, Button, Thimble (CP) IN - Peaches (CP) NC - Groot (CP) OH - Dusty (MCR) OH - Oreo (CP) VA - Renegade (CP) WV - Leo (MCR) WV - Sally (CP)

How do you feel about declawing a cat? Explain.*

Where will the animal be kept when you are home?*

Where will the animal be kept when you are not home?*

Where will the animal sleep?*

What traits are you looking for in a pet?

Who in the household will care for the pet?*

Who would care for your pets if something to happened to you?*

Do you agree to provide regular health care by a Licensed Veterinarian?

Do you agree to contact Maine Coon Rescue (MCR) if you can no longer keep this cat?

How did you hear about us?*

Have you applied with any other rescue?*
Choose one: Yes No

I certify that the information entered on this application is true and you have answered all questions fully. Enter your name and date.*