Adoption Form | Barn Cat | Whatcom Humane Society

Name *

First

Last

Primary Address *

City, State, Zip Code *

Address Where Cats Will Live (if different from above)

City, State, Zip Code

Primary Phone Number *

Alternate Phone Number *

Email *

(e-mail addresses are used for registering microchips of adopted pets and for internal lost & found purposes, your e-mail address is not sold for commercial use)

Property Information - Do you (please check):

Rent
Own

Type of property where the Cat(s) will live? (Select all that apply)

Barn
Warehouse
Shop
Other

If other, please list (i.e. Boathouse, Plant Nursery, etc.)

For Renters, what is your landlord's name and number?

What is the size and description of the property where the cats will live? *

What is the size and description of the structure in which the cat(s) will live/have access to at all times: *

Have you had working cats before? *

Yes
No

Do you currently have working cats? *

Yes
No

If yes, how many? Describe.

How many working cats are you interested in adopting?

Would you be interested a in ‘special needs’ working cat (has one eye, missing one leg, etc. *

Yes
No

Initially, working cats must be securely confined in their living structure for approximately 2 - 4 weeks . Are you willing to allow for this adjustment time? *

Yes
No

How will you keep them confined in this space? *

During the confinement period, the cat(s) will require a litter box with daily cleaning. Are you willing to maintain a litter box for a limited time? *

Yes
No

Are you able to provide fresh food and water daily, continuing after the confinement period? *

Yes
No

Who will care for your working cat(s) if you are away? *

Do you agree to trap and take to the vet if the cat(s) have an illness or injury? *

Yes
No

Please provide the name of your vet: *

Please give us a few examples of pets you currently own or have owned in the past. Include species information as well as what happened to pets no longer currently owned. *

Have you recently lost any animals to predation? *

Yes
No

If yes, how recently? *

If you have dogs, are they allowed to run loose? *

Yes
No

If yes, what provisions will you take to protect your working cats? *

Acknowledgement of Terms *

I agree to the terms of this Adoption Agreement and will sign below in person when I go to adopt my cat from the Whatcom Humane Society.

I have read the above form carefully and have completed the application honestly. By signing below, I certify that the information is true. I understand that omission of information or failure to answer all questions honestly can result in this application being denied. Also, if an omission or untruth is discovered after an adoption takes place, I understand that the Whatcom Humane Society reserves the right to annul the adoption and reclaim the animal. I give WHS permission to fully investigate the information provided as well as contact veterinarians and related officials.

Signature & Date

ADOPT a Barn Cat

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