
Your Name:_______________________
Name of Spouse:_______________________
Address of home I will be assuming:
__________________________________________
Square footage of home:__________
Total Sq. Ft. of human sleeping quarters (referred hereinafter as
'Servants Quarters') (Not to exceed 5% of home sq. footage):__________
My sleeping quarters will be (check all that apply):
____ On a cat bed.
____ On your bed. (referred hereinafter as 'my' bed)
____ On the floor.
____ On the furniture.
____ On the stairs.
____ In the garage.
____ Anywhere I want.
Number of children in my home:____
Number of children who might pull my tail:____
Previous cat experience (circle all that apply):
____ I have recently owned one or more cats.
____ I was recently owned by one or more cats.
____ Fed a cat.
____ Been slept on by a cat.
____ Cleaned a litter box.
____ Bathed a cat.
____ Been scratched by a cat.
____ Picked cat fur off my clothes.
____ Picked cat fur out of my eyes.
____ Accidentally ran over a cat.
____ Allergic to cats.
____ Chased cats out of yard.
____ Cleaned up cat puke.
____ Stepped in a hairball.
Any Canines in residence? (check all that apply):
No____
No____
Have you ever had a cat run away from this address in the last three
years?
Yes ____
No ____
If yes, please explain yourself:
__________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Your Expected salary (check one):
____ $200 weekly
____ $100 weekly
____ Nothing, just the satisfaction of knowing you took me in.
____ You pay me for living with you.
Location of litter box (check all that apply):
____ Laundry Room
____ Living Room
____ Garage
____ Bathroom
____ Dining Room
____ Pantry
____ Nook
____ Kitchen
____ None (outside)
Cat will have outside privileges? (check one):
Yes____
Yes____
Cat will be de-clawed? (check one):
No____
No____
Servant names (List all dwellers of home, including yours):
Breakfast will be served not later than (check one):
____ 6am
____ 6am
____ 6am
____ 6am
Dinner will be served (check one-careful, there is only one right
answer):
____ 5pm
____ 6pm
____ 7pm
____ Upon demand.
____ Eat what's left over from breakfast.
Menu (circle all that apply):
____ Friskies
____ Whiskas
____ 9-Lives
____ Meat Loaf
____ BBQ Chicken
____ Filet Mignon
____ Tournados with Bearnaise
____ Roti De Porc Poele
____ Filet of Fish Poached in Wine Sauce
____ Shoulder of Lamb
____ Veal Prince Orloff
____ Sauteed Scallops
____ Salmon Pate
Desserts (circle all that apply):
____ Pounce
____ Twinkies
____ Donuts
____ Ice Cream
____ Spongecake
____ Strawberries in Bavarian Cream
____ Caramel Almond Custard
____ Vanilla Sauce Souffle
____ Upside Down Apple Tart
____ Crepes with Orange Butter
____ Three Butter Cream cake
List three references that I might contact (No dogs, please):
_____________________________________ (Phone) _______________
_____________________________________ (Phone) _______________
_____________________________________ (Phone) _______________
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