Cat Surrender Form – Nevada Society for the Prevention of Cruelty to Animals

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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
Pet Photo
Submit Your Pet's Photo
Max. file size: 50 MB.
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
Phone
Please allow 24-48 hours for review. Owner surrenders take place Monday through Friday.*
- I agree
Nevada SPCA is run by donations and does not receive any government funding. To help ensure continued care for rescue animals there is a $25 surrender fee per pet.*
- I agree

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Nevada Society for the Prevention of Cruelty to Animals is a 501 (c)(3) charitable non-profit organization.

EIN: 88-0187383.

Email Address info@nevadaspca.org

Phone Number (702) 873.7722

Location 5375 S. Procyon Street, Suite 108, Las Vegas, NV 89118

Hours: Monday - Saturday: 10:00am-4:00pm | Closed: Sundays