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Cast Aside To Survive (C.A.T.S.)
Barn Cats Adoption Application
No fee/donation appreciated/ includes vaccines and spay/neuter
APPLICANT INFO
*
Indicates required field
Name
*
First
Last
Date
*
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
*
Home Phone
*
Cell Phone
*
Email Address:
*
Date of birth
*
Driver's License
*
I am interested in adopting: (Number of Barn Cats)
*
REFERENCES
Name:
*
Name:
*
Name
*
Relationship
*
Relationship
*
Relationship
*
Phone
*
Phone
*
Phone
*
Veterinary references are preferred.
ADDITIONAL INFORMATION
Will you be able to keep the cats contained until they settle in to avoid them running off?
*
Yes
No
If a cat is injured/sick you will reach out for assistance in having it trapped to seek veterinary care (to include humane euthanasia if necessary)
*
Yes
No
You agree to provide shelter, water and minimal food
*
Yes
No
Do you own your home or do you rent?
*
Own
Rent
If renting provide landlords name and phone number
*
Applicant's Consent
*
All personal information on this form shall be maintained for internal use only and shall not be distributed to external agencies except as required by law. I certify that my answers are true and complete to the best of my knowledge.
Electronic Signature
*
Date Signed
*
C.A.T.S., PO Box 116, Rosendale, NY 12472 | 845-389-1178
|
[email protected]
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