Cat Surrender Form

Cat Surrender Form: Cat's Name *

Approximate Age *

Choose applicable *

Male Female Not sure

Is this cat declawed? *

Is this cat spayed/neutered? *

Yes No Not sure

If yes, where was it done? *

Has this cat ever bitten anyone? *

How did you get this cat? *

How long have you had this cat? *

Why do you want to surrender this cat? *

How would you describe your cat most of the time? *

Has this cat been seen by a vet while in your care? *

Is this cat current on vaccinations? *

Anything else we should know about your cat's medical history? *

What vet and what name is pet listed under? *

How would you describe the ideal home for this cat? *

Please tell us some things you truly love about this cat. *

Are there any quirks/habits you are not fond of in this cat? *

How often a day is the cat fed? *

Is the cat litterbox trained, yes, no, sometimes? *

What is this cat's favorite brand of food? *

If sometimes, how often did the cat have accidents? *

Is food always available? *

Please describe the accidents. *

If litterbox accidents were an issue, when did they begin? *

Describe any measures taken to correct the problem. *

How does this cat interact with other cats? *

Has this cat been around kids and if so, how does it interact? *

As owner or agent of the owner of this cat described herein, I do hereby assign ownership to said cat to the Northwoods Humane Society. NHS will become the sole owner of the animal and may care for the animal in any manner the society sees fit. To the best of my knowledge, as owner or agent of the owner this animals HAS NOT BITTEN ANY PERSON, in the last 10 days. Please type your name in the box as electronic authorization. *