Client Name:     Address: 

Cat's Name:     Gender:  Male  Female    Friendly:  Yes   No

Description/Color/Markings: 

Age/Date of Birth:      How Long Has Cat Owned You: 

Spayed or Neutered:  Yes  No     Declawed:  Yes  No  >>> Front   Back  Both

Rabies Vaccination Date:       License Number: 

Acted Aggressive Towards Anyone:  Yes  No     Has Pet Ever Bitten Anyone:  Yes    No

If Yes Please Explain:

Attitude Towards Strangers (check all that apply):  Excited  Friendly  Aloof   Cautious   Stressed
Scared   Defensive   Indifferent   Mean    Afraid Of Storms:   Yes   No

Veterinarian:      Phone Number: 

Litter Box Location(s): 

Favorite Hiding Places: 

Favorite Treat/Location/How Given:

Favorite Activities/Toys: 

Feeding Instructions:

Other Care Instructions:

Physical Conditions Or Problems To Be Aware Of: