| Name:
|
|
| Home
Phone: |
|
| Work
Phone: |
|
| Address:
|
|
| City: |
|
| State: |
|
| Zip: |
|
| Email: |
|
| Type
(age, gender) and number of cat(s) you are interested in: |
|
|
| Name
of cat(s) you are interested in: |
|
|
| Name
and phone number of a reference who does not live with you. |
|
|
| Please
provide the name and phone number of your small animal veterinarian. |
|
|
| Please
provide the name and phone number of your large animal veterinarian. |
|
|
|
Do you
agree to let The Cat Shack visit your home/farm by appointment?
|
|
Yes
No |
| Who
will be responsible for the cat's care? |
|
|
| Do
you own or rent/board or your residence? |
|
own
rent/board |
| If
you rent or board, please provide the name and phone number
of your landlord. |
|
|
| What
is the size and description of your property? |
|
|
| How
far from the road/traffic is your barn located? |
|
|
| Volume
of traffic |
|
light
moderate
heavy |
| What
is the speed limit? |
|
|
| Please
describe those pets that are currently with you (type, age,
sex, altered status, how long owned). |
|
|
|
|
|
|
|
|
|
|
| If
you have a dog, is it permitted to run loose? |
|
Yes
No |
| If
yes, what provisions will you make to protect the cat(s)?
|
|
|
|
Please
describe those pets that are no longer with you (type, age,
sex, altered status, how long owned)
|
|
|
|
|
|
|
|
|
|
|
| What
happened to the pets who are no longer with you? |
|
|
| Reason
for wanting a cat? |
|
|
| Do
you intend to declaw your cat(s)? |
|
Yes
No |
| Do
you understand that barn cats adopted through The Cat Shack
must receive vaccinations as required by State law? |
|
Yes
No |
| How
did you hear about The Cat Shack? |
|
|
| |
|
| Reference: |
|
| |
|
| Name: |
|
| Phone:
|
|