Outdoor/Feral/Barn Cat Spay/Neuter Surgical Consent

DUE TO THE INCREASINGLY HIGH FEES FOR CREDIT OR DEBIT CARD PROCESSING, WE KINDLY ASK THAT YOU PAY IN CASH IF POSSIBLE. THANK YOU FOR UNDERSTANDING! (online deposit must be paid with a card)

The Watertown Humane Society Spay-Neuter Clinic provides a lower cost spay/neuter option for pets owned by the community as well as animals who are part of rescue organizations.

Our clinic has now moved back to our permanent location:

418 Water Tower Court - Watertown

Spay/neuter surgery carries a one-time cost that is relatively small compared to the long-term benefits. Along with helping curb pet overpopulation, spay/neuter surgery allows pets to live longer, healthier lives. It also makes them less likely to spray and/or mark territory and eliminates heat cycles. Unsterilized animals often exhibit more behavior and temperament problems than those who have been spayed or neutered.

TNR (Outdoor Feral Cats):

Outdoor community cats, sometimes referred to as “feral” cats, live outdoors in family groups called colonies. They spend their lives in city parks, alleyways, rural areas and urban neighborhoods. They are part of the natural landscape; they were born there, raised there, and in most cases, spent their entire lives in the same area when possible. Despite what many people believe, community cats can live long, healthy, and happy lives outdoors, and their populations can be humanely reduced through Trap Neuter Return (TNR) programs. Within colonies, cats breed quickly. A female can begin breeding at 4 months of age, and she can become pregnant while nursing a litter. It is estimated that in one year, one female cat, all her kittens and all their kittens can produce more than 12 cats. And, it’s speculated that in just five years this number can reach more than 10,000. To reduce the constant breeding cycle and the number of cats living outdoors, humane action must be taken.

We do the TNR cat surgeries at a loss money wise in order to help reduce the number of feral cats out in the world. Please do not apply for TNR services for your indoor pet cat. Thank you!

Full Name*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone*

Email*

Cat's Name (if applicable. Please fill out a SEPERATE form for each cat you are bringing in for surgery)*

Sex if known?

Male, Female, or Unknown?

Breed?

Short Hair, Medium Hair, Long Hair?

Color?

Estimated Age (approximate if unknown. Animals under 6 months of age do not need to be fasted prior to surgery but no food the morning of. All other ages should be fasted after 9pm the night before surgery. Water is ok for all.)*

Age-check all that apply (approximate if unknown)

How long have you been seeing this cat(s)?*

Less than 1 weekMore than 6 monthsSeveral years

Are you feeding this cat(s)?*

YesNo

Do you provide shelter for these cat(s)?*

YesNo

Has this cat bitten anyone in the last 10 days?*

YesNoUnknown

Are you able to trap and transport the cat(s) to HAWS Snip Clinic in Waukesha? Appointments for this program are limited to Wednesdays. (Traps can be loaned out when available and will require a $60 deposit)*

YesNo (if no, we will be in contact with you once your application is approved)

Can you provide us with any information regarding your cat situation?

Are you aware we are located in WATERTOWN WISCONSIN? This deposit is NON-REFUNDABLE!*

YesNo

Would you like the Spay/Neuter Clinic to provide additional health care to the cats while they are at the clinic? (payment to be made to the Watertown Humane Society prior to surgery.*

YesNo

I agree my pet will receive a Rabies vaccine AT NO ADDITONAL COST

I agreeMy cat is already vaccinated

I agree to have Flea/Worm Treatment Senergy (generic form of Revolution-active ingredient Seleamectin) applied to my cat AT NO ADDITIONAL COST*

YesNo

I would like my pet to receive a Distemper/FVRCP Vaccine $10 Fee*

YesNo

I would like my pet to receive an FIV/FELV/Heart worm Test $25 Fee*

YesNo

I understand that if my animal is discovered to have live fleas a Capstar will be administered and I will be charged $10*

YesNo

I understand that if my animal is discovered to have an umbilical hernia or a be a cryptorchid (undescended testicle) it will be repaired and I will be charged $25 (per need)*

YesNo

I would like to purchase oral pain meds to give to my cat after surgery $10 Fee*

YesNo

I would like to bring in a stool sample for fecal test (includes Giardia screening $50 Fee*

YesNo

I understand that if the cat(s) I bring in has/have an injury or is ill, a Convenia injection will be required at time of surgery and the cost for me will be $20 payable to the Watertown Humane Society*

Yes

I would like my pet to receive a Microchip $20 Fee*

YesNo

I understand that underlying conditions may exist without anyone knowing about it and may not be observable during the brief pre-surgical exam.*

I agree

I understand that if my animal is discovered to be pregnant during it's pre-surgical exam or during surgery the pregnancy will be terminated*

I agree

I am the owner of the address listed above.*

I agree

I agree that the cat(s) listed above will be transported to and from the Humane society in a trap/carrier in a HEATED (Winter) and COOLED (Summer) vehicle.*

I agree

I agree that the cat(s) listed above will be kept in a trap/carrier in a climate-controlled area (barn, garage, basement or house) overnight after surgery and cannot be released immediately. Nursing cats will be noted in the medical history of the cat(s) and should be released ASAP to be reunited with her litter*

I agree

I am the owner/caretaker of the cat(s) listed above*

I agree

This cat(s) were found on this property and not brought in from a different location.*

I agree

l acknowledge that if I indicate additional medical care outside of the spay/neuter surgery, I will be responsible for payment which will be due prior to the surgery date. Payment will be made to the Watertown Humane society. If my application is approved and I choose no additional medical care, no additional fees will be incurred by me.*

I agree

l acknowledge that I will be returning this cat(s) to the area they came from after their surgery.*

I agree

l acknowledge that in addition to the spay/neuter, this cat will receive a left ear notch to indicate they have been sterilized.*

I agree

I have reviewed the charges associated with the spay/neuter surgery and any additional medical care I wish to have performed and agree to pay in full (minus the deposit paid) at pick up*

I agree

Signature (please use your finger if using a smart phone or mouse if using a computer to electronically sign:*

Outdoor/Feral/Barn Cat Spay/Neuter*

Cat Spay/Neuter NON-REFUNDABLE Deposit - This deposit will be deducted from your final total the day of surgery. To review total charges, please see above or review on our website: www.whsadopt.org/clinic (If you are a no show or cancel the day of your appointment, your deposit will be forfeited)$25.00

Total $0.00

Outdoor/Feral/Barn Cat Spay/Neuter Surgical Consent

Applicant Information

Cat(s) Information

Optional Additional Medical Consent

AGREEMENT