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: _______________________________________________________________
______________________________________________________________________________________
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: ________________________________________________________________
_______________________________________________________________________________________
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: ____________________________
______________________________________________________________________________________
______________________________________________________________________________________