Barn Cat Adoption Application If you are human, leave this field blank.Barn Cat Adoption SurveyIn order to be considered for an adoption today, you must be at least 18 years of age, have a valid ID with current address; have your landlord’s name and telephone number (or lease); and be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet. I understand that this application does not reserve this animal nor does it mean I am eligible to adopt from this agency. First nameLast nameAddressCountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codePrimary PhoneSecondary PhoneEmailHow many cats are you interested in adopting?:What type of cat(s) are you interested in?:FeralSemi-feralNo preferenceDo you have a gender preference?:MaleFemaleNo preferenceDo you have an age preference?:Volume of traffic where cats will reside:LowModerateHeavyHow close to a major highway is your property?Do you often see predators (i.e. coyotes) on the property?:What animals currently reside at the property?:For what purpose are you interested in a barn cat?:What type of shelter will be available for the cat(s)?:Is the cat’s primary shelter heated in winter?:YesNoIf no, what type of protection from the cold can you provide?:Are you willing to confine the cat(s) for the 2 – 4 week relocation period?:YesNoAre you able to provide the cat(s) with fresh food and water daily?:YesNoPlease check any topics you would like to discuss or need information on:Confining during relocationLitter box/bathroom habitsIntroducing to propertyMicrochips/IDMedical careAdditional information:I have read the above information carefully and have filled out this application honestly.By clicking the check box I agree to the termsI understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that The Oregon Coast Humane Society(OCHS) reserves the right to annul the adoption and reclaim the animal. I give OCHS permission to fully investigate the information provided as well as contact veterinarians and related officials. I understand that OCHS requires all adopted cats to be spayed or neutered. I agree to provide regular health care for the cat and am prepared to provide for this cat for possibly 12 years or more. I further agree to contact OCHS if I can no longer keep this cat. In addition, I understand the adoption decision is dependent on many factors; including but not limited to, the compatibility of the family and home of the individual animal, and other applications received on this animal. I understand it is OCHS’ prerogative to decide the home that is most appropriate and that their decision is final, and therefore I will not argue with the decision.Captcha *For security verification, please enter any random two digit number. For example: 82Submit
