Pet’s Name _________________________________________________________

Breed: _____________________________________   Circle:      MALE       FEMALE

Has your cat been spayed or neutered?   __________

Age: ______________________________  Today’s Date: ____________________

 

1.  Is your cat an escape artist?                                                     YES             NO

2.  Does your cat suffer from any food allergies?                          YES             NO

If yes, please list: ___________________________________________________________________

3.  Does your cat suffer from any anxiety when you leave?          YES              NO

If yes, please explain: _______________________________________________________________

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5.  Has your cat ever been boarded before?                                 YES              NO

If yes, how did he/she do? __________________________________________________________

6.  Has your cat ever bitten another cat or person?                    YES              NO

If yes, please explain: ________________________________________________________________

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7.   Can we give your cat our treats?                                            YES             NO

8.   Do you want your cat to play with other cats?                      YES              NO

 

Please list any special needs or concerns you may have: ____________________________

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