BARN CAT Adoption Pre-Screening Application
Cat adoption Pre-screening form
PAWS of Grays Harbor
Applicant's First Name
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Applicant's Last Name
*
Street Address (include apartment/unit number if applicable)
*
City
*
State
*
Zip Code
*
Phone Number
*
Please use the following format 248-555-1212
Alternate Phone Number
Email Address
Please enter correctly as this is the main way we will contact you
Please select your current residence type.
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House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
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Do you own or rent your home? (If you live in a mobile home park with space rent, please choose Rent and provide landlord information)
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Own
Rent
Someone else owns the Home
Someone else rents the Home
If you are not the landlord/home owner, please provide their name and contact information as we will need landlord approval prior to adoption.
Have you had a mouser/barn cat before?
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No
Yes
Outdoor/Barn cats do best when adopted in pairs of two or more. Are you willing to adopt more than one?
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No
Yes
What is the type of facility/accommodations you have for the cat(s)?
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(Closed Barn, Open Barn, Stable, Open shed, Closed shed, Warehouse, etc.)
If you selected "other", please explain here:
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These cats require a 2-4 week transitional period before having full access to the outdoors to increase the chances of them remaining on your property. Can you commit to this plan?
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(Select One)
Yes
No
Unsure
What will you feed the cat(s)?
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(Select One)
Dry cat food
Wet cat food
Both Dry and wet cat food
No food provided
Have you recently seen or lost animals to predators in your area?
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No
Yes
Is there anything else you would like us to know?
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Have you ever been convicted of abuse or neglect of a child or animal?
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No
Yes
If yes, please explain:
What is your preferred method of contact?
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Phone
Email
Text
How did you find out about us?
Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I understand that anything submitted in this application found to be untrue will result in the forfeiture of any PAWS of Grays Harbor animal adopted or fostered by me. I understand that PAWS of Grays Harbor may verify any or all information submitted in this application from Landlords, Property Companies and/or Veterinarians before approval may be given. I understand that this application does not ensure I will be approved.
*
No
Yes
Signature
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Clear
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