Empire Maine Coons Adoption Application
www.EmpireMaineCoons.com
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you looking for a Male or Female?
*
Male
Female
Open - No Preference
Prefer Male - Will consider Female
Prefer Female - Will consider Male
Are you looking to adopt a specific color?
*
Black
Grey / Silver
Red / Orange
White / Cream
Brown
Torti
Open - No preference
How did you here about us?
*
Please Select
TICA
Google Search
Google Maps
Facebook
Youtube
Client Reference
Other
What qualities are you looking for in a Maine Coon?
*
Size
Temperament
Family companion
I've always wanted one!
Are you familiar with the grooming, size, and slow maturation of the Maine Coon breed? (they are kittens until 4 years old)
*
Yes
No
If you have other pets in the household, are you prepared to introduce them gradually with the safety of all animals involved?
*
Yes
No
Our kittens/cats get sold as INDOOR PETS only. Do you agree to keep your new companion inside?
*
Yes
No
Is there anyone in your household that is allergic to Cats?
*
No
Yes
Yes- but I understand the risks
Have you ever surrendered a pet to a shelter or rehomed a pet?
*
No
Yes
Do you accept full financial responsibility for all routine veterinary care, preventative care, and any emergency medical treatment that may arise during the lifetime of your kitten/cat?
*
Yes
No
It is required that all new companions are quarantined at your home for (10) DAYS or until seen and clear by your veterinarian. Do you agree to that?
*
Yes
No
We require all kittens/cats to be spayed or neutered with (10) MONTHS of possession if a Kitten and (30) DAYS if an Adult cat (Older than 1YR). Are you agreeing to complete that obligation?
*
Yes
No
Would you agree to give Empire Maine Coons notification of the completed first initial veterinarian appointment with (72) Hours of completion?
*
Yes
No
Do you acknowledge and understand that the $350.00 retainer, which is applied toward the total purchase price, is non-refundable?
*
Yes
No
Our Health Guarantee covers against specific hereditary conditions for a period of one (1) YEAR from the kittens date of birth. This guarantee covers the following: (i) Pyruvate Kinase Deficiency (PKDef)(ii) Hypertrophic Cardiomyopathy (HCM)(iii) Other genetically identifiable diseases that are routinely screened for on the Optimal Selection genetic panel. Do you acknowledge this Health Guarantee?
*
Yes
No
Do you acknowledge and understand that, in the event that you, the Buyer, or your veterinarian identifies a health concern during the first initial veterinary appointment that warrants notifying the Seller, the Buyer must provide written notice to Empire Maine Coons within the TEN (10) consecutive day grace period from the date of possession?
*
Yes
No
Do you agree that Empire Maine Coons cannot guarantee the temperament, future color, size, appearance, traits, behavior, personality of the kitten/cat?
*
Yes
No
Do you agree to a Phone Interview as part of our adoption process?
*
Yes
No
Signature
*
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