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Barn Cat Request Form
If you would like to adopt an available barn cat(s), please fill out this request form.
If you have additional questions about the program, please contact us at (603) 448-6888.
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Today's Date
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MM
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YYYY
Full Name
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Your answer
Phone Number (include area code)
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Your answer
Email Address
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Your answer
Mailing Address
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Your answer
Physical Address (if different than mailing)
Your answer
Do you own or rent the property where the cat(s) will reside?
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Own
Rent
If you rent, do you have the owners permission to have cats?
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Yes
No
Please describe the type of building where the cat(s) will reside (e.g barn, warehouse, etc.).
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Your answer
Is the building where the cat(s) will reside insulated?
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Yes
No
Please list the number and species of any animals that currently live at this location.
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Your answer
How many cats are you interested in adopting? Please note that UVHS generally requires barn cats be adopted in pairs. (You can see all available barn cats at
www.uvhs.org/cats
)
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Your answer
Are you willing and able to confine your barn cat(s) for a minimum 3 week introductory period? This will require a litter box to be cleaned daily. (UVHS can loan an appropriate confinement crate for this purpose.)
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Your answer
Do you agree to provide the cat(s) with daily food and water, along with appropriate vet care when needed?
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Yes
No
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