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Application for Cat Ownership

Your Name: _________________

Name of Spouse: _________________

Address of home I will be assuming: _________________

Square footage of home: _________________

Total Sq. Ft. of human sleeping quarters (Referred hereinafter as 'Servants Quarters.'; Not to exceed 5% of home sq. footage.): _________________

My sleeping quarters will be (circle one):

  • On a cat bed.
  • On your bed. (Referred hereinafter as 'my' bed.)
  • On the floor.
  • On the furniture.
  • On the stairs.
  • In the garage.
  • Anywhere I want.

No. of human children in my home: _________________

No. of children who might pull my tail: _________________

Previous cat experience (circle all that apply):

  • I have recently owned one or more cats.
  • I was recently owned by one or more cats.
  • Fed a cat.
  • Been slept on by a cat.
  • Cleaned a litter box.
  • Bathed a cat.
  • Been scratched by a cat.
  • Picked cat fur off my clothes.
  • Picked cat fur out of my eyes.
  • Accidentally ran over a cat.
  • Allergic to cats.
  • Chased cats out of yard.
  • Cleaned up cat puke.
  • Stepped in a hairball.

Any Canines in residence? (circle one):

  • No
  • No

Have you ever had a cat run away from this address in the last three years?
(If yes, please explain yourself):

Your Expected salary (circle one):

  • $200 weekly
  • $100 weekly
  • Nothing, just the satisfaction of knowing you took me in.
  • You pay me for living with you.

Location of litter box (circle one):

  • Laundry Room
  • Living Room
  • Garage
  • Bathroom
  • Dining Room
  • Pantry Nook
  • Kitchen
  • None (outside)

Cat will have outside privileges? (circle one):

  • Yes
  • Yes

Cat will be de-clawed? (circle one):

  • No
  • No

Servant names (List all dwellers of home, including yours): (If you need more space, use the back of this form.)

Breakfast will be served not later than (circle one):

  • 6am
  • 6am
  • 6am
  • 6am
  • 6am

Dinner will be served (circle one)(careful, there is only one right answer):

  • 5pm
  • 6pm
  • 7pm
  • Upon demand.
  • Eat what's left over from breakfast

Menu (circle all that apply):

  • Friskies
  • Whiskas
  • 9-Lives
  • Meat Loaf
  • BBQ Chicken
  • Filet Mignon
  • Tournados with Bearnaise
  • Roti De Porc Poele
  • Filet of Fish Poached in Wine Sauce
  • Shoulder of Lamb
  • Veal Prince Orloff
  • Saut� Scallops
  • Salmon Pate

Desserts (circle all that apply):

  • Pounce
  • Twinkies
  • Donuts
  • Ice Cream
  • Spongecake
  • Strawberries in Bavarian Cream
  • Caramel Almond Custard
  • Chocolate Mousse
  • Vanilla Sauce Souffl�
  • Upside Down Apple Tart
  • Crepes with Orange Butter
  • Three Butter Cream Cake

List three references that I might contact (No dogs, please): _________________ __________________ __________________

Do Not Write In This Space (Just had to have that in there.) It was a good day.

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Fairfield Veterinary Hospital
230 N. Fairfield Rd. Layton, UT, 84041 map (801) 544-8800
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