New Kittens and Cats Intake Form
This form is for current FCOC fosters only. If you're surrendering a cat or kitten to our rescue, please fill out the Surrender Application.
Foster’s Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
About the cat(s) or kitten(s)
*
Name
Cat/Kitten
Approx. DOB
Sex
Spay/Neuter
Breed/Color/Pattern
Adopted
1
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
2
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
3
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
4
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
5
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
6
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
7
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
8
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
9
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
10
Cat
Weaned Kitten
Nursing Kitten
Male
Female
Unsure
Yes
No
Unsure
Approximate DOB
*
-
Month
-
Day
Year
Date
Sex
Female
Male
Breed
Color/pattern
Vaccines & Parasite Treatments (check all that apply)
*
Unknown
FVRCP
Rabies
Deworm
Flea meds
Antibiotics
1
2
3
4
5
6
7
8
9
10
Socialization
*
Friendly
Skittish
Eats Wet Food
Eats Dry Food
Litter Trained
Good with Kids
Good with Cats
Good with Dogs
1
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
2
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
3
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
4
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
5
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
6
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
7
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
8
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
9
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
10
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Yes
No
Unknown
Other Health Information
*
Please include any known or suspected illness of each cat (for kittens, please also include mother cat's illnesses, nursing status, and/or death). Include any surgeries, injuries, medications, or treatments. If you've taken the cat to the vet, please include the name of the practice and any diagnoses/treatments.
Other Personality Traits
*
Please include any habits or characteristics that will help a prospective adopter determine if the cat is a good fit for their home. Be honest! We can find the right home for any cat, but we have to know what to look for.
Good With Other Cats?
Yes
No
Unknown
Good With Children?
Yes
No
Unknown
Where did this kitten/cat come from?
*
If unsure, please list the FCOC volunteer or location where you picked up the cat.
Is the cat altered and what vaccines and/or treatments has the cat received?
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