Barn Cat Adoption Application
Name *
Address *
City, State, Zip *
Age *
Phone Number *
Email *
Employer *
How did you hear about this pet? *
To be considered for adoption, you need to: *
Why do you want to adopt this barn cat? *
How many barn cats are you interested in adopting? *
Have you ever had barn cats before? *
If so, how long did he/she live with you?
If deceased, what happened to them?
Do you have barn cats at this location currently? *
If yes, how many?
If yes, are they all spayed/neutered?
Clear selection
Do you have dogs? *
If yes, are they allowed to run loose?
Clear selection
Are the dogs friendly to cats?
Clear selection
Do you have any indoor/outdoor cats? *
Do you have any other outdoor animals? *
If yes, please explain
Please list any (indoor) pets in your home and if they are spayed/neutered. *
Will you be the primary caregiver for this cat? *
If no, please explain
How will the cats be cared for when you or the primary caregiver travels away from home? *
Volume of traffic where cat(s) will reside: *
Have you ever surrendered/given away a pet? *
If so, please explain the circumstances
Which of the following situations would lead you to give away your pet? *
Required
What provisions will you make should you become unable to care for this pet? (I.e. Due to medical reasons.) *
Veterinarian Name/Address/Phone Number *
What type of shelter is available for the cats on your property? *
Please explain your setup *
Are the outbuildings heated in the winter? *
Do you have a secure confinement area where the newly relocated cats can be kept safely for the first 4-5 weeks while they adjust to their new home? (Confinement areas must include windows or other amenities that allow cats to see and smell outside) *
Briefly describe your confinement area *
How much time do you typically spend outdoors/in the barn area? *
What is your housing situation? *
If you rent, please provide your landlord's name and phone number
I live in a: *
How long have you lived at this address? *
Are you planning to move in the next 6 months? *
If yes, what plans will you make for your pet? *
Please list the 1) names and 2) ages of all people living with you, as well as 3) their relationship to you. *
Please list the name, phone number, and relationship of two references *
Is there anything else you would like to tell us that you think would be important when considering your application? *
By signing this application, you agree to the following: *
Required
Date *
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Initial for Signature *
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