Cat Owner Surrender

Cat Owner Surrender
THERE IS A $100 SURRENDER FEE FOR EACH CAT OR KITTEN SURRENDERED

Surrender any animal to a shelter or rescue should be your last resort after you have exhausted all other options to find your pet a safe and healthy home. Rescue Alliance has programs available to assist with our pet food bank.Completing this form and providing veterinary records are critical to doing the best we can for your pet. The more we know about your pet, the more likely we will be able to place them into a new home. The pet surrender process starts by filling out the online owner surrender form. This form is for owned animals only. Please note once form is completed that it could be up to 1-7 business days before you are contacted about a surrender appointment.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Picture of ID showing residency.*

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Cats Name*
Breed*
Sex of the cat*
Age of the cat*
Picture of the cat*

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Picture of the cat

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Picture of the cat

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Picture of the cat

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Picture of the cat

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Picture of the cat

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Reason for surrendering*
Does your cat see a Veterinarian for annual vaccines?*
Name of Vet Clinic he/she sees.
Who's name will your cat be under at the Vets office listed above?
Does your cat use the litter box?*
If you answered sometimes, how often does he/she make mistakes?
What type of litter does your cat use? *
What type of litter box does your cat use?*
What is your cats favorite toy? (please select all that apply)*

Stuffed MiceCatnip ToysLaser PointerFeather/String WandsAll ToysNone
How does your cat like to play? (please select all that apply)*

Plays gently, does not usually use teeth or clawsLikes to play roughLikes to chase and pounce with variety of toysLikes things that crackle, such as paper bagsLikes to play hide and seekWill fetch items like bottle caps or toysLikes to play in or around waterLikes to learn new tricks for treatsLikes to play with other catsLikes to play with dogsNot interested in playChases bugs or moths
What areas of your home did the cat have access to? (please check all that apply)*

Outdoors OnlyIndoors at nightOutdoors in warm weatherScreened in porchGarageIndoors in coldIndoors with access to outsideBarn or shed
Where did your cat spend most of its time? (please check all that apply)*

BedroomKitchenLivingroomBarn or ShedWith peopleGarageAt the windowOutdoors only
Does your cat have any of the following behavioral issues?(please check all that apply)*

Scratching FurnitureJumping on countersSprayingChewing electric cordsEscaping outsideClimbing curtainsSwatting aggressivelyChewing PlantsOther: Please answer next question.
Explain your answer of other here.
Our first mission is public safety as animal rescue.

Thank you for entrusting us and if you ever need anything...we are here! Relinquishing Receipt for Animal surrendered to Rescue Alliance by Owner * I hereby give Rescue Alliance permission to request all medical history and medical records from my Veterinarian for the animal I am relinquishing. *I acknowledge that my signature on this receipt relinquishes all claims of ownership of the animal(s) described. Neither my family, any representatives acting on my behalf, nor I may assert present and/or future claims, suites, or otherwise against Rescue Alliance with respect to this animal(s). I understand that the Rescue Alliance will not return this animal to me, once left in its care, under any circumstances, unless otherwise approved by the Rescue Alliance Director.
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Cat Owner Surrender

THERE IS A $100 SURRENDER FEE FOR EACH CAT OR KITTEN SURRENDERED