Kitty Cat Connection Barn Cat Inquiry Form

Kitty Cat Connection Barn Cat Inquiry Form
Name

First Name Last Name
Phone number
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Will you be the primary caregiver?

Yes No
If no, who will be?
Does the primary caregiver live at the property full time?

Yes No
If no, how often will the caregiver go to the property?
What kind of housing/shelter will be provided for the cat?
How far is the housing/shelter located from the road?
What type of heat source is in the housing/shelter?

Baseboard Heater Space heater Furnace Wood Stove Heat lamp Kerosene Heater None Other
Other, please specify
List the number of cats that are currently located on the property
List the number of dogs that are currently located on the property
List the number of poultry that are currently located on the property
List the number of goats/sheep that are currently located on the property
List the number of cows that are currently located on the property
Other animals? Please specify
How many barn cats are you wanting?

1 2-3 4-6 7-9 10 or more
Have you owned barn cats in the past?

Yes No
If yes, how many barn cats have you previously owned?
What precautions have you taken to ensure the cat will be safe from predators?
Have you lost any cats or other animals in the last year due to illness, disease, vehicles or predators?

Yes No
Why are you interested in adopting a cat through our barn program?
Do you have a large or extra large wired kennel?

Yes No
Is there anything else you would like to tell us?
Should be Empty:

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