Surrender Request Form
Please fill out this form if you are looking to surrender a cat to The Cat Connection (TCC). If you are surrendering multiple cats, please fill out a separate form for each cat. Your response will be looked at within 72 hours of submitting your request. We appreciate your patience!
What kind of request is this?
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Owner Surrender/Return
Trapper Intake Request
TCC Internal Request (TCC Personnel Only)
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Contact Information
*If you are filling this out on behalf of someone, please put YOUR information as the primary point of contact.
Your Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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Please enter a valid phone number.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Cat's Information
Please be as honest as possible while filling out this section. Your answers will help our staff find the best placement for your cat.
Cat's Name
*
If you are surrendering more than one cat, please fill out separate forms for each cat.
Breed
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Please Select
Domestic Short Hair
Domestic Medium Hair
Domestic Long Hair
Other
Age
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If you are not sure please make an educated guess
Sex
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Please Select
Male
Female
I'm not sure
Is the cat spayed/neutered?
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Please Select
Yes
No
I'm not sure
Do you own this cat?
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Please Select
Yes
No
Please describe the cat's general temperament
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Friendly
Shy/Timid
Sassy
I'm not sure
Other
Does the cat get along with dogs?
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Yes
No
I'm not sure
Does the cat get along with cats?
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Yes
No
I'm not sure
Does the cat get along with babies/kids?
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Yes
No
I'm not sure
Reason you are surrendering this cat
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Please Select
Returning an adopted cat
Behavioral reasons
Housing issues
Moving
Medical reasons
Financial reasons
Found stray
Owner passed away
Other
Please provide as much information as possible regarding why you are surrendering this cat. Any and all information is welcome (e.g. circumstances, medical info, behavioral info, etc.) in order to help us assess and care for this cat.
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Tell us a little bit more about why you're surrendering this cat...
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Your Name (First & Last):
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Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Cat Name/ID #
Please submit separate forms for each adult cat. One form can be used for a mama + litter of kittens or a litter of kittens (no mom).
Medical Information
Please fill this section out to the best of your knowledge. This will help our staff provide the best medical care for your cat.
Please list any medical care the cat has ever received:
Spay/Neuter
Rabies vaccine
FVRCP
Dewormer
Flea/Tick Med (e.g. Revolution)
Bloodwork
Health Certificate
Other
Is the cat up to date on vaccinations?
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Yes
No
I don't know
When was the last time the cat was seen by a veterinarian?
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Estimate to the best of your ability if you do not know the exact date
Please provide the cat's current vet information:
Please include: vet practice/office, phone number, email
Does the cat have any specific dietary needs?
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e.g. sensitive skin wet/dry food, kidney wet/dry food, urinary wet/dry food
Please list any medical diagnoses and/or information outside of the standard medical care listed above:
e.g. diabetic, hyper/hypo-thyroid, kidney disease, dental issues, blind, deaf, arthritic, etc.
Where did the cat come from?
Please list any medical observations/information outside of the standard vetting listed above
e.g. diabetic, hyperthyroid, kidney disease, dental issues, etc.
Please elaborate:
e.g type of dewormer, flea/tick meds, info on bloodwork, etc.
Breed
e.g: DSH F tabby, est. 2-6 yrs
Please provide any helpful behavioral observations:
e.g: approaches for attention, solicits pets; hissy, hiding from humans;
Anything else?
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Documents & Signature
When do you need to surrender this cat by?
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Month
-
Day
Year
Date
How urgent is this request?
*
Emergency (this cat needs immediate attention)
High Priority
Medium Priority
Low Priority
I can hold on to this cat for an extended amount of time
I'm not sure at this time
Other
Is there anything else you'd like The Cat Connection to know?
Please upload any relevant and/or medical records you have available:
Browse Files
Drag and drop files here
Choose a file
e.g. vet/medical records, adoption/previous owner records, etc.
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Please upload a recent photo of your cat:
Browse Files
Drag and drop files here
Choose a file
If you cannot upload a photo, please email it to intake@thecatconnection.org with the Name of your cat in the Subject Line.
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1) I certify that the above is a true representation of the cat, it's health and behavior to the best of my knowledge, and if any statements are found to be fraudulent I agree to immediately take the cat back upon request. I further understand that THE CAT CONNECTION will make its best efforts to adopt said cat to a suitable home but can make no guarantees as to when or if this will occur. I understand that occasional medical conditions arise which make it impossible to keep the cat in good health and THE CAT CONNECTION will act in the most humane manner possible as to treatment of the cat. I hereby surrender the cat to THE CAT CONNECTION and hold THE CAT CONNECTION, it's directors, trustees, officers, employees, volunteers and agents harmless from any action resulting from the surrender and/or subsequent adoption of said animal. 2) I agree that I relinquish ownership of said cat to THE CAT CONNECTION who will have full authority to make all decisions for said cat. 3) I agree to pay a surrender fee (suggested amt. $300 per cat) to help cover the costs of food and medicine
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