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West Valley City Working Cat Application

2. Our barn cat program is populated by cats that do not fall neatly within our adoptable or feral categories. We therefore do not have a constant population of barn cats at our shelter, as they are assessed on an individual basis. Please be aware that if your application is approved, we may not be able to match you up with cats immediately.

4. First Name*

5. Last Name*

7. Address 1*

9. Address 2

11. City*

12. State*

13. Zip*

15. Is this the address where the cats will be located?*

    1. Yes

    1. No

17. Address Where Cats Will Be Located

19. Address 2

21. City

22. State

23. Zip

25. Phone Number*

26. Alternate Phone Number

27. Email*

29. What type of facility do you have for the cats?*

    1. Farm or ranch with barn or outdoor building
    2. Stable
    3. Residential home with garage or shed
    4. Warehouse
    5. Other

30. If other, please describe

32. How many cats are you interested in adopting?*

    There is a two cat minimum.

34. Do you have a preference in the temperament of the cats?*

    1. Yes
    2. No

35. If yes, please explain.

37. Do you agree to do your best to trap the cat and provide veterinary care should it become ill or injured?*

    1. Yes

    1. No

39. Do you agree with the terms of the relocation process, allowing the cats an acclimation period in a provided enclosure for the duration of 3 - 4 weeks?*

    1. Yes

    1. No

41. Do you agree to provide food and water for the cats?*

    1. Yes

    1. No

43. Would you be interested in "special needs" barn cats (missing a leg or eye, etc.)?*

    1. Yes

    1. No

45. Is there anything else you would like us to know?

Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field