Barn Cat Questionnaire

Thank you for considering adopting one of our rescued animals. In order to be considered for adoption you must: Be 21 years of age; understand that an adoption counselor must approve your application; present a current photo ID .State Driver’s License.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Home Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

Cell Phone

Area CodePhone Number

Best Number And Time To Call

Drivers License #

Drivers License State

Drivers License Exp.

Do you:*

Own your homeRent/leaseLive with parents/relatives

If you rent or lease, provide the name and address of your landlord (required)

Have you adopted from us before?

Do you want this cat for:

What type of facility do you have for the cats?

It may take a couple of weeks for a cat to adjust to a new home. Are you prepared to allow for this period?

Do you have any cats now?

How many cats do you want? (Minimum of two. They come in socially bonded groups)

What will you feed the cats?

Name of the clinic or practice of your family veterinarian and the vet's name:

Phone Number of Vet

Area CodePhone Number

You understand we reserve the right to use your vet as a reference?

Anything else you would like us to know:

I, the undersigned, do hereby release Town Cats, Inc., its directors, officers, trustees, volunteers and representatives from liability to myself and/or my part for any damage accident, or injury to person(s) or property incurred in relation to visiting the shelter or animals under the control of the organization.
I hereby affirm that all of the above information is true and correct. I understand that submission of this application does not necessarily mean that I will be approved to adopt, and Town Cats, Inc. reserves the right to reject any applicant. I authorize Town Cats, Inc. to verify any and all information in this application. (Without your signature we cannot approve this application)

I hereby adopt___________________________________________________________________________
from Town Cats of Ocean City Maryland. I understand that Town Cats has found this cat to be fit for adoption, but assumes no responsibility for its future behavior. I do not hold Town Cats responsible for errors provided to me about this cat. I accept the fact that it is my responsibility to provide this cat with good shelter, food and proper medical care by a licensed veterinarian, and other care that it may need to maintain good health. I also understand that the cats must be confined for the initial 3 week relocation period to ensure a successful transition to a new home.
Town Cats maintains the right to check on the care of the adopted animal (home visits) and reclaim it if it deems necessary. If for any reason I cannot continue to provide a loving home for this animal, it is our policy that the animal must be returned to Town Cats. I accept all responsibility for this cat at the date of adoption and understand that cats adopted from Town cats cannot be used for breeding, medical or experimental purposes.

Date

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Signature*

Clear

An automatic email will be sent to your email account after successful completion of the application. Thank you!!

Town Cats Barn/Companion Cat Questionnaire