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Barn Cat/Working Cat Application

Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Home Phone
Work Phone
Cell Phone *
Email *
Best way/time to reach you? *
How did you hear about our Barn Cat program? *

Property location where the cats will reside: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Do you: *
Own your homeRentOther
If you selected 'Other' for the previous question, please explain:
If you are renting, what is the name and phone number of the landlord?
Volume of traffic: *
LowMediumHigh
What is the speed limit in your area? *
How close is the closest busy road to your barn? *
Are you going to be the primary caregiver of the barn cats on your property? *
YesNo
If no, please explain why:
Have you ever had barn cats at this location before? *
YesNo
Do you have barn cats at this location currently? *
YesNo
If yes, how many?
Did you previously have barn cats that are deceased? *
YesNo
How long did he/she live with you?
What happened to him/her?
Do you agree to trap and take to the vet a barn cat who becomes ill or injured? *
YesNo
Have you had pets before? *
YesNo
Do you have pets of your own at this time? *
YesNo
If yes, please list the following information for each of your pets:
Pet's name, Species, Breed, Age, Sex, Spayed/Neutered, Where it lives, Where you got it, Years owned
If you have a dog, is he/she permitted to run loose?
YesNo
Does your dog have a tendency to chase wildlife or other animals?
YesNo
If yes, what provisions will you supply to protect the cats?

What type of shelter is available for the cats on your property? *
Closed BarnOpen BarnHorse StableOther
If other, explain:
Are these outbuildings heated in the winter? *
YesNo
Is there an issue of coyotes in the area? *
YesNoNot sure
Do you have a secure confinement area where the newly relocated cats can be kept safely for the first 4-5 weeks while they adjust to their new home (confinement areas must include windows or other amenities that allow cats to see and smell outside)? *
Briefly describe:
A site inspection may be required. We require photos of your confinement set up during the approval process. Are you able to provide this? *
If you do not have a secure confinement area, Laurel Cats may be able to loan you a large dog crate for the duration or can provide you with a list of acceptable confinement cages.YesNo

Are you able to provide and clean a litter box during and after the confinement period? *
YesNo
Can you provide food and fresh water for the cats on a daily basis for their lifetime? *
YesNo
Are you willing to feed the cats canned wet cat food during and after the confinement period (this helps bond the cat to you and their new home)? *
YesNo
How will the cats be cared for when you or the primary caregiver travels away from the home? *
Describe any events that could prevent you from keeping these cats for their lifetime: *
Are you aware of the supplies that you will need to have for the 4-5 week confinement period (weatherproof cage, coyote-proof cage, cat litter, litter box—one per cat, litter scooper, dry and wet food, fresh water, ant proof bowls/dishes, bed, blankets)? *
YesNo
Questions/Comments?

Laurel Cats, Inc.