Are you at least 21 years of age?
*
*You must be 21 years or older to complete this application.
Name
First Name
Last Name
Email Address
*
Confirm Email Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Phone
*
(###)
###
####
Name of Cat(s) you are interested in or Type (age, gender) and number of cat(s):
*
Please provide the name of your small animal veterinarian:
*
Phone number of your small animal veterinarian:
*
(###)
###
####
Please provide the name of your large animal veterinarian if appropriate:
Phone number of your large animal veterinarian if appropriate:
(###)
###
####
CURRENT PETS: Please describe those pets that currently live with you:
*
Please include: Type of Animal and Name, Age, Sex, Spayed/Neutered, Indoor/Outdoor/Both, & How long did
you own them?
PET HISTORY: Please describe those pets that are no longer with you:
*
Please include: Type of Animal and Name, Spayed/Neutered, Indoor/Outdoor/Both, How long did you own them, & What happened to the pet?
Please provide the name of a personal reference that does not live with you:
*
Phone number of your personal reference:
*
(###)
###
####
Do You Own or Rent?
*
Name
If Rent, Landlord’s name
First Name
Last Name
Contact Info (phone/email).
What is your reason for wanting a cat?
*
Who will be responsible for the cat's care and what is that person's age?
*
Do you understand that barn cats adopted through Stray Cat Blues must receive vaccinations as required by State law?
*
Do you agree to let Stray Cat Blues visit your home/farm by appointment?
*
Do you plan to declaw the cat?
*
Are you willing to continue their routine?
*
The cats in the Stray Cat Blues cat program currently are receiving about a tablespoon of wet food daily in addition to having access to dry cat food and fresh water 24/7.
If you have a dog, is it permitted to run loose?
*
What is the size and description of your property?
*
How far from the road/traffic is your barn located?
*
How did you hear about us?
