First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Cell Phone*

Once you submit your online form, you will be contacted after your application has been reviewed and approved by EMAIL and put in direct contact with the designated application counselor. Scott County Humane Society is located in Georgetown, Kentucky. We welcome local adopters and out of state adopters who are willing to come to Georgetown, Kentucky to pick up the adopted pet! Please be sure to check your email. I understand this policy.

Age: (You must be at least 21.) *

What traits are you looking for in a barn cat?

Will you accept a feral, skiddish, or anti-social cat?

How many barn cats are you wanting? *

What type of property do you have?

Do you own or rent your home*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal
Choose one: Yes No

If you rent, please enter your landlord's name and phone number

What kind of shelter will be provided for the cat?

Do you have a secure room or large crate you can keep the barn cat in for two to four weeks while it acclimates to its new home?

For all pets living in your household please list the name, species, age, if spayed, neutered or intact, where kept (indoor/outdoor/both), and most recent vaccination date.

Have you ever given up a pet? If yes, please explain*

Comments

I certify that the information entered on this applicant is true. Enter your name and date*