Intake Questionnaire - Siamese Oriental & Snowshoe Cat Rescue

Submitting this form does not mean that we are intaking your cat. We will assess our foster space to see if we can accommodate but this is no guarantee.

Date Found *
Age Group *	0 - 6 Months 6 Months - 3 Years 3 Years - 5 years 6 yrs - 10 yrs 11+ yrs
Actual Age *
I verify that I am the caretaker of this cat. Please answer Yes or No. *	NoYes
Sex *	Male Female
Species *	Cat Dog
Breed *	Abyssinian American Curl American Shorthair American Wirehair Applehead Siamese Balinese Bengal Birman Bobtail Bombay British Shorthair Burmese Burmilla Calico Canadian Hairless Chartreux Chinchilla Cornish Rex Cymric Devon Rex Domestic Long Hair Domestic Medium Hair Domestic Short Hair Egyptian Mau Exotic Shorthair Extra-Toes Cat (Hemingway Polydactyl) Havana Himalayan Japanese Bobtail Javanese Korat Maine Coon Manx Munchkin Norwegian Forest Cat Ocicat Oriental Long Hair Oriental Short Hair Oriental Tabby Persian Pixie-Bob Ragamuffin Ragdoll Russian Blue Scottish Fold Selkirk Rex Siamese Siamese blue point Siamese chocolate point Siamese flame point Siamese lilac point Siamese lynx point Siamese seal point Siamese smudge Siamese snow point Siamese snowshoe (classic) Siamese snowshoe (mittens only) Siamese snowshoe (unique) Siamese torbie point Siamese tortie point (freckles) Siamese tortie point (patches) Siberian Singapura Snowshoe Somali Sphynx (hairless cat) Tiger Tonkinese Turkish Angora Turkish Van
Color *	Amber Black Black and Brindle Black and Brown Black and Tan Black and White Black Tortie Blue Blue Tortie Brindle Brindle and Black Brindle and White Brown Brown and Black Brown and White Chocolate Chocolate Tortie Cinnamon Cinnamon Tortoiseshell Cream Fawn Fawn Tortoiseshell Ginger Ginger and White Golden Green Grey Grey and White Light Amber Lilac Lilac Tortie Liver Liver and White Ruddy Seal Silver Sorrel Sorrel Tortoiseshell Tabby Tabby and White Tan Tan and Black Tan and White Tortie Tortie and White Tricolour Various White White and Black White and Brindle White and Brown White and Grey White and Liver White and Tabby White and Tan White and Torti Yellow and Grey
Markings or distinguishing features *
Location Found * Describe where you found the stray animal. Example: your home, in neighborhood, on the street, store, garbage dump, etc.
Features
Microchipped *	Yes No Unknown
Neutered *	Yes No Unknown
Collar *	Yes No
Color of collar *
Name of animal * Name of kitten/cat
Name and Address
Title *	Mr Mrs Ms Miss
First name *
Last name *
Address * Street Address|State
City *
Zipcode *
Your Email Address *
Home Tel
Mobile|Cell Phone *
Medical Records of Vaccinations etc *
Signature Required *	Clear
Comments * Condition|Where Found|Posted Anywhere
Headshot of cat * Prefer Closeup

www.siameseorientalsnowshoerescue.org