Barn Cat Application

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First Name:			Last Name:
Street Address:
City: Please enter your first name			State:		Zip:
Phone:		Work:	Home:		Other:
Email:
Do you own your residence/land? Yes No
Do you live on the property?
Please describe the property where the cats would live.
How large is the property?
Type of building cats would be housed in during acclimation and primary shelter after release: Unheated Barn Heated Barn Loafing Shed Other: (Describe)
Where is the barn/building located?
How far is the barn/building from the house?
How far is the barn/building from the road?
Rate the activity level of the road: Low Medium Heavily Traveled
Rate the activity level of the barn/building (1=quiet, 5=very active): 1 2 3 4 5
Have you ever had barn cats? Yes No
If yes, where are they now?
Do you have a dog that roams free? Yes No
Is the dog cat-friendly? Yes No
How many barn cats are you interested in?
Why do you want barn cats?
How did you hear about our rescue efforts?
I am over 21 years of age			Yes No
Please provide any other information you feel would be helpful to us in screening your application: