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Barn Cat Program Application

  1. Thank You for Considering Adoption from the Iowa City Animal Care & Adoption Center
    The Iowa City Animal Care and Adoption Center has assumed responsibility for the welfare of every animal that enters our facility. Our purpose is to place an animal in a responsible home for the rest of its life. This must be a barn where it will receive appropriate care, humane treatment and necessary veterinary care and where it will not add to the surplus of animals already in the community.

    We have formulated this application to assist our staff in the careful selection of placements for our barn cats. Only adults of legal age are eligible to adopt from the Center. All members of household must meet the animal before this application may be considered.

    We reserve the right to refuse any adoption.
  2. Are you 18 years or older?
  3. Dow you own your residence/land?
  4. Do you reside on the property?
  5. Have you ever adopted an animal from the Iowa City Animal Center before?
  6. Have you ever been refused adoption of an animal from the Center?
  7. Most cats are feral (wild), but some are somewhat friendly or getting that way. Friendly cats will want to be with you, will follow you around, and likely try to come into your home. Feral cats are strong mousers that will keep to themselves.
  8. 3. What personality type are you looking for?
  9. 4. Will you be willing to acclimate the cat(s) in a cage or enclosed room for a minimum of two weeks, with fresh food, litter, and water daily?
  10. 6. Please provide information on what type(s) of animals you own or have owned during the past five years.
  11. Spayed / Neutered
  12. Still Own
  13. If applicable.
  14. Spayed / Neutered
  15. Still Own
  16. If applicable.
  17. Spayed / Neutered
  18. Still Own
  19. If applicable.
  20. Spayed / Neutered
  21. Still Own
  22. If applicable.
  23. Spayed / Neutered
  24. Still Own
  25. If applicable.
  26. Spayed / Neutered
  27. Still Own
  28. If applicable.
  29. Spayed / Neutered
  30. Still Own
  31. If applicable.
  32. Spayed / Neutered
  33. Still Own
  34. If applicable.
  35. 12. Do you understand that State laws and/or local ordinances require regular vaccinating, leashing, and licensing of companion animals? Do you agree to do these things?
  36. 14. Do you feel that domestic animals should be spayed/neutered?
  37. 15. Do you plan to let your cat have kittens?
  38. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  39. Acknowledgement
    By signing below, I certify that the information I have given is true. I recognize that any misrepresentation of facts may result in my losing the privilege of adopting or keeping an adopted animal. I understand the Iowa City Animal Care and Adoption Center has the right to deny my request to adopt an animal. I understand they will not "hold" an animal for me if my application is incomplete and other applicants may meet all criteria. I authorize investigation of all statements in this application. I understand that this application is the property of the Iowa City Animal Care and Adoption Center.
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  41. This field is not part of the form submission.