INFORMATION SUBMISSION FORM
FANCIER PET LISTINGS


FORM 5: The following form is for submitting information about your pet or show cat or any Maine Coon Polydactyl.  The cat or kitten must be a registered Maine Coon Polydactyl (Note the individual cat need not be registered if the litter was registered by the breeder or both Sire and Dam are registered).  Please answer all the questions if you can, however not all information is required.  We would be more than happy to assist you.  Thank You for submitting your special MC Poly to our database and we look forward to sharing information about your cat with cat lovers from all over the world. 

  1. Is this a new entry for the Fancier Pet portion of the database? (Change answer to NO if following information is a change to your existing data.

  2. Registered or Full Cat Name.

  3. Pet Name or Nickname. 

  4. Cat Currently Residing at (Town, Pr/St, & Country)

  5. Date of Birth.
    (YYYY-MM-DD)

  6. Number of Poly Paws (1-4).

  7. Gender.
     

  8. Color.

  9. Registration Number & Registry(s) (Please note if number and Registry(s) is for the cat or for the litter registered by the breeder.  If neither are available then enter "Not Available" and make certain that both the Cat's Sire and Dam are registered).

  10. Above number for Cat   
    Above number for Litter

  11. Pawpeds Link (if available---if not you may use Pawpeds  test mating for cat's parents).


    PARENTAL INFORMATION FOR THIS CAT

  12. Dam's Name


    Poly?  Yes  No

  13. Sire's Name


    Poly?   Yes   No



    Owner(s)

  14. Email Address (Optional)

  15. Breeder or Cattery where born.

  16. PolyTrak would like to include a picture with this listing.  Do you give us permission to use a picture with this listing? 
    Yes   No

    If yes to above please provide source (i.e. will send by email to submit@poltrak.net or from my website URL=?????).


  17. REMARKS (i.e. toe configuration, special traits, health, background or any items of interest that you would like to add):

  18. Your return email address for confirmation and should there  be a question on this form.  Note:  This box will not be displayed on the website.

  19. By checking this box, you certify that the above information is true and correct to the best of your belief and knowledge. 


 

 

(Please Click Button only once.)

Thank You for participating in the our Polydactyl Database!

 


DISCLAIMER
Polytrak or any of its members are not responsible for errors arising from the submission of this information.  Polytrak, or any of it members, assume no liability resulting from display, or release, of this information by third parties and that you will hold harmless, Polytrak and its members from any liability that may arise from use of this database.


Copyright 2006 PolyTrak 
All rights reserved.