Please let us know about your cat. The information will help us in finding a good new home for your pet. Cat Information for Surrender The cat's name is Why are you giving the cat up? Where did you get the cat? How long have you had the cat? How old is the cat? Gender Male Female What kind of fur does the cat have? Long Short What breed is the cat? Is the cat spayed or neutered? Is the cat declawed? What brand of food does the cat eat? Check all types of food that apply: Canned Dry Table Scraps Other Please specify When does he/she eat? A.M. P.M. Free feed Where does the cat stay during the day? In Out Both At night? In Out Both If he sleeps inside, where does he sleep? (check all that apply) Cat Bed Furniture Your bed Other Please specify Does the cat use the litter box? Yes, all the time Most of the time No - goes outside the box in the house No - uses the outdoors instead Recently stopped using the box The cat lived in the household with (check all that apply) Dog(s) Cat(s) Other pets Children under 5 Children 5-10 Older children What are your cat's favorite activities? Check all that apply to your cat's personality: Well-socialized Well-mannered Active Quiet Talkative Sensitive Nervous Calm Playful Lap cat Good with dogs Good with other cats Fights with other cats Good with older children Good with small children Likes men Likes women Likes seniors Loves to be with people Uses scratching post Declawed Shy, hides Affectionate Hyperactive Needy Friendly Confident Slow to adjust Relaxed Likes to be held or carried Likes to sleep on the bed Likes catnip Likes to hunt Climbs on counters Lets owner trim nails Likes to be brushed Gets matted Doesn't like to be picked up Has favorite toy (describe) Bites (explain) Scratches (explain) Please tell us more about this cat! Check all that describe your household: Quiet Busy Noisy Average Does your cat have a microchip? Yes No Name, address, and phone number of cat's vet clinic: Is your cat on medication or have any medical conditions? Date of last rabies vaccination: Rabies Certificate number: Has your cat bitten anyone in the last 10 days? Yes No Not sure By checking this box you are adding your signature to this document, and are agreeing that all of the above information is correct to the best of your knowledge.* I agree Name First Last Address* Street Address City State / Province / Region ZIP / Postal Code Email PhonePlease allow 24-48 hours for review. Owner surrenders take place Monday through Friday.* I agree
