Barn Cat Adoption Survey

In order to be considered for an adoption today, you must be at least 18 years of age, have a valid ID with current address; have your landlord’s name and telephone number (or lease); and be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet. I understand that this application does not reserve this animal nor does it mean I am eligible to adopt from this agency.

First name

Last name

Address

Country

City

State

Zip code

Primary Phone

Secondary Phone

How many cats are you interested in adopting?:

What type of cat(s) are you interested in?:

Feral

Semi-feral

No preference

Do you have a gender preference?:

Male

Female

No preference

Do you have an age preference?:

Volume of traffic where cats will reside:

Low

Moderate

Heavy

How close to a major highway is your property?

Do you often see predators (i.e. coyotes) on the property?:

What animals currently reside at the property?:

For what purpose are you interested in a barn cat?:

What type of shelter will be available for the cat(s)?:

Is the cat’s primary shelter heated in winter?:

Yes

If no, what type of protection from the cold can you provide?:

Are you willing to confine the cat(s) for the 2 – 4 week relocation period?:

Yes

Are you able to provide the cat(s) with fresh food and water daily?:

Yes

Please check any topics you would like to discuss or need information on:

Confining during relocation

Litter box/bathroom habits

Introducing to property

Microchips/ID

Medical care

Additional information:

I have read the above information carefully and have filled out this application honestly.

By clicking the check box I agree to the terms

I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that The Oregon Coast Humane Society(OCHS) reserves the right to annul the adoption and reclaim the animal. I give OCHS permission to fully investigate the information provided as well as contact veterinarians and related officials. I understand that OCHS requires all adopted cats to be spayed or neutered. I agree to provide regular health care for the cat and am prepared to provide for this cat for possibly 12 years or more. I further agree to contact OCHS if I can no longer keep this cat. In addition, I understand the adoption decision is dependent on many factors; including but not limited to, the compatibility of the family and home of the individual animal, and other applications received on this animal. I understand it is OCHS’ prerogative to decide the home that is most appropriate and that their decision is final, and therefore I will not argue with the decision.

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