Mailing address (if different from physical)
Employer name / Job title*
Name of spouse/partner (if applicable)
Number of adults in your home*
Number of children in your home*
Ages of children in your home
Does anyone in your home have allergies? If yes, please explain*
In what type of home do you reside? (please choose one)*
Name of landlord/homeowner (Use N/A if you own)*
Phone or email of landlord/homeowner (Use N/A if you own)*
How long have you lived at your current address?*
Please list the address of the last place you resided and for how long?*
Veterinarian Information: Name and phone number of you veterinarian*
How many pets are in your home currently?*
Please list ALL current and past pets you have had within the last 5 years. (Please include name, species, gender, age and if they are still with you or not.)*
Where will this Barn Buddy's main shelter be?*
Do you have a barn cat on your property currently?*
Do you have livestock on your property?*
Why are you interested in adopting a barn buddy?*
Have you housed a barn cat before?*
How do you plan to confine a barn buddy to your property while they are adjusting?*
Have you considered what you would do with this barn buddy if you had to move? What would that be?*
Have you considered what you would do with this barn buddy if you were unable to care for it due to personal injury, illness or death? Do you have someone who will care for your pet, and if so, have you confirmed this with them?*
Please list TWO personal references of people who are NOT family or spouse. (Please include name and phone or email)*
