Working Cat Adoption

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First Name *
Middle Initial *
Last Name *
Date of Birth *
Spouse First Name
Spouse Middle Initial
Spouse Last Name
Spouse Date of Birth
Your Street *
City *
State *
Zip Code *
Home Telephone Number Enter your home telephone number (ex. 555-555-5555).
Mobile Phone Number Enter your mobile telephone number (ex. 555-555-5555).
Email Address *
Do you have a preference for gender? *
What kind of shelter will the cat(s) have access to? *
Do you have other cats that use this shelter? *
How many cats live at this shelter? *
Are your current barn cats spayed or neutered? *
If you don't currently have barn cats are you willing to adopt a pair? *
Have you previously had barn cats? *
Are you able to provide fresh food and water on a daily basis? *
If a barn cat becomes ill or injured do you agree to trap and take the cat to the vet? *
Do you have a secure confinement area where the newly relocated cat(s) can be kept safely for 4 weeks? *
Please describe the confinement space. *
Do you own the property where the cat(s) will be located? *
Do you agree to a site inspection? *
How did you find Ten Lives?
By signing this application, I agree to the following: All statements made on this application are truthful; I have made no false statement with regard to family members in household, status of my home ownership and any other statements made on this application. *
Signature *