First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Cell Phone*

What is your experience with cats?*

What temperament are you looking for in a barn cat?

Do you currently have any animals residing with you in the household?*
Choose one: Yes No

Please list all current pets residing in your household. Please provide species, name, age, spayed/neutered, length of time you have cared for this pet. Please include whether any pet has previously lived with a cat.

Do you own or rent your home?*
Choose one: Rent Own

Do you live at this location full time? If not, who will be responsible for feeding and caring for the cats?*

What problem are you trying to solve by adopting barn or garden cats?

How many barn or garden cats would you be willing to adopt?*

Where will the barn cat be housed during its acclimation period?*

Where will the cat be sheltered once it is released to your yard or farm?*

Do you agree to follow up with an update on the cat after 1 month and after 3 months?*
Choose one: Yes No

How did you hear about us?*