Bengal Application Form
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long at this address?
*
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Colour of Bengal cat you would consider adopting: (check all that apply)
*
Brown
Silver
Lynx
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)
*
Male
Female
Any
How did you hear about Millstone Bengals?
*
Are you 18 years or older
*
Yes
No
Do you own your own home?
*
Yes
No
If No, name and phone number of your landlord:
Type of dwelling
Please Select
House
Apartment
Mobile home
If for any reason, you have to rehome your bengal, how will you go about it?
Age of ALL occupants in your household (including yourself)
*
How many total hours will your new Bengal be left alone during the day?
*
If adopting a kitten, where will your kitten be kept whan alone?
*
Are any members if your house allergic to animals?
*
Yes
No
If Yes, please describe:
Who will have main responsibility for the care of the new Bengal?
*
Over the past 5 years, how many pets have you owned? (Including current pets)
*
Please Select
1
2
3
4
5+
List each individually including breed, age, still living with you? (if not, why?)*
Have you ever lost or given away a pet?
*
Yes
No
Are your present pets up to date on their annual vaccines?
*
Yes
No
N/A
Will you provide your cat with monthly flea/tick prevention?
*
Yes
No
Are you willing to send photo updates to Millstone Bengals over the lifespan of your Bengal?
*
Yes
No
Are you willing to give permission for Millstone Bengals to share your cats photo on social media and websites?
*
Yes
No
If there is anything else you think we should know, please note it here
Submit
Should be Empty: