Canuck Maine Coon Application
General Information
Name of Applicant
*
First Name
Last Name
Age of Applicant
*
Applicants must be at least 21 years old to adopt
Name of Co-Applicant
First Name
Last Name
Email Address
*
example@example.com
Cell Number
*
Alternative Phone Number
Employment
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
When are you considering adding a Maine Coon to your family?
*
Immediately
within 6 months
6 months + (added to waitlist)
If you are interested in a specific Canuck Maine Coon please enter their name below. Otherwise put n/a if you are undecided.
*
List the name(s) of all cats you're interested in
Describe the type of personality you would like your cat to have. As all kittens have unique personalities we will try to match.
*
Ex: playful, friendly, lap cat, good with kids, good with other dogs, male, orange etc.
If the cat(s) you are interested are no longer available for adoption, would you like us to continue to process your application for pre-approval in the event that another cat interests you?
*
Yes
No
Who is this pet for?
*
Myself
My family
Relative
Friend
Other
Are all members of the household aware of the adoption and in agreement?
*
Yes
No
Have you applied to adopt from us previously?
*
Yes
No
Have you adopted from us previously?
*
Yes
No
Home & Family
Describe your home
*
Single-Family
Apartment
Condo/Duplex
Public Housing
Student Housing
Do you own or rent your home?
*
Own
Rent
I live with a parent, guardian or family member
If you rent or live in a family member's home, please provide their contact information here:
Is your home busy or quiet?
*
Busy
Quiet
A mix of both, depending on the time & day
Please describe who lives in your home, or frequents your home, including ages: (You do not have to provide names ex: daughter, 7)
Are any members of the household allergic to pets (eg. dogs, cats etc.)
*
Yes
No
If you had to move, are you willing to find housing that accepts pets?
*
Yes
No
Maybe
Current & Past Pets
Do you have any pets currently?
*
Yes
No
List all current household pets:
Name
Type of Animal
Sex (M/F)
Age
Fixed? (Y/N)
Up-to-date on vaccines? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Have you had any pets of your own in the past 10 years?
*
Yes
No - this is my first pet
List all previous pets that you no longer have (within last 10 years):
Name
Type of Animal
Sex (M/F)
Age
Why don't you have them any longer?
Pet 1
Pet 2
Pet 3
Pet 4
Have you ever had a pet euthanized?
*
Yes
No
If yes, please explain the circumstances:
Have your current or past cats been mostly indoor with some time spent outdoors? How often did they go out? Please explain:
*
Do you plan to let your cat out for outdoor time? If so please explain.
*
Did you declaw any of your past or current cats?
*
Yes
No
N/A - this is my first pet
Do you plan on declawing your adopted cat?
*
Yes
No
I don't know
Are you willing/able to take your pets to yearly check-ups?
*
Yes
No
If your pet becomes ill, are you able to afford a veterinary bill?
*
Yes
No
How many hours per day would the cat be alone?
*
How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?
*
Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?
*
Yes
No
Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months)
*
Yes
No
If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?
*
If you were no longer able to care for your pet, or had to move, what would happen to your pet?
*
Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?
*
Yes
No
If you answered "Yes" to the above question, please explain the circumstances:
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
*
Yes
No
If you answered "Yes" please provide a detailed description:
Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?
*
Yes
No
Terms & Conditions
I certify that I am at least 21 years of age
*
Agree
Disagree
The information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from Canuck Maine Coons
*
Agree
Disagree
I understand that Canuck Maine Coons has the right to deny any application for any reason
*
Agree
Disagree
I understand that this application is not a binding contract for a maine coon kitten. Should you be selected to adopt a separate contract will be provided.
*
Agree
Disagree
You will be contacted within 3-5 days to further discuss application. If you have a preference on a day/time that is good to contact you please provide and we will do our best to accommadate.
Ex: Sunday afternoons; Tuesday evenings
Applicant Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
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