BARN CAT Adoption Pre-Screening Application

Cat adoption Pre-screening form

PAWS of Grays Harbor

Applicant's First Name *
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. *
If you answered "other" above, please explain here: *
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) *
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? *
Outdoor/Barn cats do best when adopted in pairs of two or more. Are you willing to adopt more than one? *
*	What is the type of facility/accommodations you have for the cat(s)?
If you selected "other", please explain here: *
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? *
What will you feed the cat(s)? *
Have you recently seen or lost animals to predators in your area? *
Is there anything else you would like us to know? *
Have you ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain:
What is your preferred method of contact? *
How did you find out about us?
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. *
Signature *