OWNER SURRENDER FORM

OWNER SURRENDER FORM
Owner’s Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cat's Name
Breed
Age
Sex
Are they spayed/neutered?
Are they microchipped?
To enable us to find the best possible home for this cat, please fill in the information below as completely and accurately as possible.
Why are you giving up this cat?
How long have you owned this cat?
How many owners has this cat had?
Where did you get this cat?
Name of cat's Veterinarian?
What type of pets did this cat live with?
Please describe any conflicts with this cat and the other pets:
List ages of any children in household:
Please describe any conflicts between this cat and children:
Where did this cat spend most of its time?

Indoors OnlyMostly IndoorIn GarageMostly OutdoorsAlways OutdoorsOther
Where was the litter box kept?
How many cats shared the litterbox?
How often does your cat urinate or defecate outside the litterbox? Please provide example.
What kind of litter do you use?
How often do you change the litter?
Is your cat declawed? If so, why?
Does your cat use it's claws on furniture or drapes?
Does your cat use a scratching post? If so, what type? Where was it kept?
How often was this cat brushed/groomed?
Describe any problems with grooming:
How often does this cat get hairballs?
How often does this cat spray? If applicable, when & where?
Have you ever consulted a trainer or behaviorist on any problemsconcerning this cat? If yes, describe the problem:
What form of discipline or correction do you use with this cat? How does the cat react?
Has this cat ever bitten or scratched anyone? If yes, please describe the incident.
Please describe any health problems this cat has:
Is the cat on any medications? If so, please list:
What form of flea control do you use?
Please describe your cat's idea of a perfect day:
Check as many of the following that describe your cat's behavior:

OutgoingFriendlyPlayfulAffectionateSlow to AdjustLap CatIndependentShyTalkativeRelaxed
Is there anything else we should know about this cat?
Be aware that all animals relinquished to More than a Feline Cat Rescue become the property of More than a Feline Cat Rescue. No owner shall contact the organization to inquire about the whereabouts of animals relinquished into their care.
I declare this information to be true to the best of my knowledge and belief.
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