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Barn Cat Application

Thank you for your interest in receive a barn cat from Clermont Pets Alive!. Our success in saving these animals is directly related to the generosity of guardians just like you willing to open their barns and their hearts to our furry friends.

To sign up to receive a barn cat, please complete our application below.

Clermont Pets Alive! (“CPA!”) is a private, non-profit animal welfare organization whose mission is to promote and provide the resources, education and programs needed to eliminate the killing of companion animals in Clermont County, Ohio. Please complete the entire application. For problems with this form, please email Admin@ClermontPetsAlive.org.

Thank you!

Barn Cat Request, Agreement & Release

  •   Farm
      Stable
      Other (Comment Below)
  •   Own
      Rent
  •   Yes
      No
  •   Yes
      No

  •   Currently have cat(s)
      No cat(s) now but previously had cat(s)
      Never had a cat
  •   Currently have barn cat(s)
      No cat(s) now but previously had barn cat(s)
      Never had a barn cat
  •   Yes
      No

  •   Yes
      No
  • I agree that a representative of Clermont Pets Alive! may contact my veterinarian to confirm the information provided herein regarding my pets and I consent to the release of such veterinary information by my veterinarian to Clermont Pets Alive!.
  •   Yes
      No

  •   Either
      Female
      Male
  •   Any
      1
      2
      3
      4
      5
  •   Any Age
      Adult
      Kitten
      Geriatric
  •   Yes
      No
  •   1
      2
      3
      4
      5
  •   Food
      Litter
      Transportation
      Veterinary Care
  •   Yes
      No

  • Pet's Health and Disposition

    Clermont Pets Alive! cannot guarantee the health or disposition of any barn cat. We do not have past records for these animals and there are some risks associated with taking in a barn cat. Barn cats must be kept isolated in a carrier for a minimum of 7 days for the protection of existing animals and to help them acclimate to their new environment. I agree to be fully responsible for the safety and well being of the barn cat(s).

    I will provide a safe, loving, humane environment with adequate food, water and shelter at all times.

    I will not declaw or crop tail of the barn cat.

    I will adhere to all state and local animal laws.

    I will promptly notify Clermont Pets Alive! of any signs of illness, behavioral issues or concerns, if the barn cat becomes lost, and/or if the cat bites someone.

    Transfer of Animals

    Animals cannot be transferred to the custody of another person, shelter, humane society, SPCA, or other entity without prior consent and permission of Clermont Pets Alive!

    I agree to not place this cat in another home without the written or verbal authorization from Clermont Pets Alive!, whether it be temporary or permanent.

    I agree to provide the Authorized Representative, or his/her designate access to my barn and property to check on my barn cat(s), at any time while I am in possession of my barn cat(s).

    Personal or Property Damage and/or Injury

    I agree that accidental animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Clermont Pets Alive! from any claim or suit filed by someone as a result of such incident.

    In addition, Clermont Pets Alive! will not be responsible if animal should damage or destroy property belonging to Caregiver, Caregiver household, or others, or if the animal shall transfer any disease, internal or external parasites to other animals and people in Caregivers household.

    I understand that if I am approved for receive a barn cat, this declaration represents a legal contract between me as the home caregiver and Clermont Pets Alive!.

    I understand that if I am approved to receive a barn cat, I must abide by this agreement and that this agreement applies to any and all animals that I receive from Clermont Pets Alive! through the Barn Cat Program.

    Accuracy of Information By signing below, I acknowledge that the information provided on this application is correct to the best of my knowledge. If at any time the information I have provided changes, I will provide the updated information to the Clermont Pets Alive! Barn Cat Program.

    I am typing my first and last name in the box below to indicate my acceptance of these terms. This will act as my signature and indicates my agreement to be bound by these terms.

  •   Yes
      No