Bengal application form

Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long at this address?:*
Home Phone Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
E-mail*
How did you hear about Mochipaws Bengals?*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your Bengal if you move?
If for any reason you must re-home your Bengal, how will you go about it?
Are you 18 years of age or older?*

YesNo
Do you own your own home?*

YesNo
If no, name and phone # of landlord:
Type of Dwelling:*
Age of ALL occupants in household (including yourself):*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
If other, please explain:
How many total hours will your new Bengal be left alone during the day?*
If adopting a kitten, where would the kitten be kept when alone?
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Who will have chief responsibility for the care of your new Bengal?*
Over the past 5 years, how many pets have you owned? (Include current pets)*
List each individually including breed, age, still living with you? (if not, why?)
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, how does he/she react to new cats?
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
What plans do you have for your new pet when you are on vacation?*
Colour of Bengal cat you would consider adopting: (check all that apply)*

BrownLynxMinkSepiaSilver
Do you plan to show your Bengal?*

YesMaybeNo
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
What is your preferred gender? (Please keep in mind you will NOT be contacted about an available kitten of the opposite gender while there are other people on the waitlist so choose carefully)*

MaleFemaleAny
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeContact breederOther
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Move box to new locationTry a different litterClean box more oftenHave cat examined by vetUse a cat doorReturn CatNoneOther
If other, please explain:
What brand of cat food do you plan on feeding your new cat?*
Is your entire immediate family in agreement with the decision to bring a Bengal cat into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a cat for 15 - 20 years (average life span)?*

YesNo
Are you willing to send photo updates to Mochipaws over the lifespan of your Bengal?*

YesNo
Are you willing to give permission for Mochipaws to share your cats photo on social media and websites?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
Have you done any research on the Bengal breed?*

YesNoSome
Why have you decided on a Bengal over other breeds of cat?*
Where will your cat spend most of his/her time?*
If you selected outdoor, would your cat be supervised?

YesNo
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*

Area CodePhone Number
Reference #2*
First and Last Name & Relationship to Self
Reference #2 Phone Number*

Area CodePhone Number
If there is anything else you think we should know, please note it here.
Once we have received your application, you will receive an email confirmation within 24 hours.
Should be Empty:

Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals.

Once we have received your application, you will receive an email confirmation within 24 hours.