Working Cat Adoption

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

Mobile Phone Number

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 *