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New Hope Animal Rescue, Austin TX

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Barn Cat Application

Barn Cat Adoption Application

This application is for anyone intending to adopt a barn cat from our organization. Please fill out each section completely and truthfully.
* indicates required field

"*" indicates required fields

Step 1 of 5

20%

Application Date*

MM slash DD slash YYYY

# of Cats looking to adopt*

1

2

3

more than 3

Enter number of cats looking to adopt*

Have you ever adopted from other rescues*

Yes

No

Please list the rescues

Do you currently reside outside of Texas or plan to move outside of Texas in the next 3 months?*

Yes

No

Other

Please explain

NHAR does not currently adopt our animals to residents outside of Texas.
If you feel this message is being displayed in error, please do not hesitate to Contact Us

General Information

Name*

First Last

Email*

Enter Email Confirm Email

Cell Phone*

Work Phone

Home Phone

Age Group*

We cannot proceed with the application due to age restriction.

Thank you for your understanding and cooperation.
If you feel this message is being displayed in error, please do not hesitate to Contact Us

Address*

Where you currently reside.

Street Address Address Line 2 City State ZIP Code

Is the above address also a business address?

Yes

No

Name of the Business*

Will the cats live at the same address?*

Yes

No

Name of the Business

(if applicable)

Second Address

Provide the address where the cats will reside

Street Address Address Line 2 City State ZIP Code

Type of facility for the cats:*

Farm/ranch with barn or outbuilding

Stable

Residential home with garage or shed

Warehouse

Other

Please explain*

Does the facility currently house barn cats?*

Yes

No

How many?*

Are the current barn cats spayed and neutered?*

Yes

No

Explain*

What will you feed the cats?*

Mark any that apply

Dry Cat food only

Wet Cat food only

A mix of dry and wet cat food

Leftover scraps

No food provided

What feeding schedule do you use for the cats?*

Once in AM and once in PM

Once daily (AM or PM only)

Other

No food provided

Please provide more info*

Are you able to provide access to fresh water at all times?*

Yes

No

Please explain*

Have you lost cats to coyotes or predators recently?*

Yes, several, it's inevitable

Yes, but only few

Yes, it was an unfortunate accident

No

Cats' Medical Care

How long are you planning on keeping your new cat(s) confined indoors or in a large crate to acclimate to their new environment?*

Release immediately

1 week

2 weeks

3 weeks

4 weeks

as long as it takes

Will this enclosure during acclimation be temperature controlled?*

Yes

No

Will you be able to provide Basic Veterinary Care for your Barn Cat(s)*

For example: vaccinations, parasite treatments, and flea preventatives—as well as emergency vet care for illness or injury?

Yes

No

Please explain*

Do you currently have a veterinarian?*

Yes

No

Please explain*

You've identified that you live with or own pets, please explain why you do not currently have a veterinarian.

Have you had a Vet in the past?*

Yes

No

Please explain*

You've identified that you have had pets in the past, please explain why you did not have a veterinarian.

Vet's Name*

Dr's Name or Medical Group

Vet's Phone number*

Vet's Email

Do you have other ideas on how to keep your outdoor barn cats safe and well cared for?

Is there anything else you would like us to know?

References

*** Please provide a name of someone who does not live with you. ***

1st Reference*

First Last

Phone*

Relationship*

2nd Reference*

First Last

Phone*

Relationship*

Adoption Agreement, Consent and Signatures

Household Adoption Consent and Declarations*

I declare that all adults living at the provided address are aware and are in agreement to adopt this(these) pet(s)

*

I authorize New Hope Animal rescue to contact my references, including my veterinarian to verify the information I have provided on this application

*

I understand that if New Hope uncovers any information on this application to be false, that the pet will be reclaimed by New Hope Animal Rescue.

*

I permit New Hope Animal Rescue to conduct a home visit, which will be scheduled in advance.

*

I agree that this pet shall not be sold, given, or adopted to anyone else, nor shall it be given to a shelter or other rescue organization. This pet adopted from New Hope Animal Rescue must be returned to New Hope Animal Rescue for any reason if I can no longer keep this pet.

*

I understand that cats can live up to 20 years and can cost up to $500-$1,500 each year for basic nutrition and vet care. I am willing to accept financial responsibility for this animal.

*

If this pet is found roaming free more than two times or not kept current on prevention and vaccinations, I understand New Hope Animal Rescue has the right to Reclaim this pet.

Declarations*

I understand that all animals adopted out from New Hope Animal Rescue will be spayed/neutered as New Hope does not adopt out cats for breeding. If a kitten is not spayed/neutered at time of adoption, New Hope Animal Rescue requires this be done at 4 months of age. Refusal to alter an animal will result in immediate removal from the home.

Signature Page

Applicant Signature*

Type your full name

Today's Date*

Enter today's date

MM slash DD slash YYYY

Co-applicant Signature

Type your full name

Today's Date

Enter today's date

MM slash DD slash YYYY

Co-applicant's Phone

Co-applicant's Email

Authorization Signature*

By checking here you to agree to the terms and conditions of this application.*

Terms & Conditions:
By submitting this application, You are not obligated to adopt. Adoption fees are due at the time of pickup.
You attest that the person signing is your true self and all statement are true to the best of your knowledge.

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Review Progress

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Reviewing

References

Phone Screen

Diff Cat

Meet/Greet

Home visit

Phone

This field is for validation purposes and should be left unchanged.

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New Hope Animal Rescue NFP

P.O. Box 404453

Austin, TX 78704

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