Barn Cat Adoption Application

Number of cats you are interested in 234

We recommend at least 2 for easier re-location

First Name

Last Name

Address, City, State, Zip

Phone Number

Are you 18 years or older

Personal Reference #1 Name

Please list 2 personal references including at least 1 non-family member (Please do not include anyone in the household)

Personal Reference #1- phone number

Personal Reference #2- Name

Please list 2 personal references including at least 1 non-family member (Please do not include anyone in the household)

Personal Reference #2- Phone Number

Current Animals

Please list all the current pets in the home Name, species, breed, gender, spay/neuter status If you don't have any pets, please list your most recent if applicable

Current Animal Continued

Veterinary Clinic

If you do not have any animals, please put N/A

Name on the account

Whose name is your pet under at the vet

Please mark your preference Feral-wild and/or unsocial, untouchable. Will hide from people. Can be aggressive if cornered. Usually excellent hunters as they have never known anything else. The barn cat program is their best option.Semi-feral- Under socialized. May allow touching but not handling. Will likely hide from strangers. May be unpredictable.Semi-social- With work, will likely allow touching and possible handling. Usually scared of strangers, but may bond with family members over time.

Have you had barn cats before?

Do you agree to trap and take the vet if they become ill or injured?

Initially, barn cats must be securly confined in a barn or other structure for 2-4 weeks. Are you prepared to allow this much time?

Although they will be hunting, they still need a primary food source to ensure they have enough energy to keep working. Are you willing and able to provide fresh food and water daily?

How will you keep them confined during this time?

Who will care for your barn cats if you are away?

I certify

that all information I have given in this application for a pet is true and correct to the best of my knowledge and belief. I give the Humane Society of Whitley County permission to contact the veterinarians and landlord I have listed for the purpose of verifying information. Sign and date in the box provided