Surrender Form For Mama Cats + Kittens

This form is to be used in the event that you have found a friendly stray cat who looks as though she may be pregnant, a mama cat who is actively nursing kittens, or stray kittens on their lonesome. Once reviewed, our intake team will get back to you by e-mail to let you know if we can help!

Please note that due to the high volume of surrender inquiries we recieve, we may not always be able to get back to you immediately. We typically reply within 24hrs of receiving this form, but in the event that you are faced with having to care for young kittens, we have included resources in this form to guide you in estimating the age of any kittens you may have found, as well as how to provide the best care for them until rescue is available.

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

I have found a...*

Pregnant CatMama Cat And KittensKitten or Multiple Kittens

How many kittens?*

Please use the above chart to estimate the age of the kittens:*

Are the kittens able to eat on their own?*

Yes, they eat canned food only.Yes, they can eat both canned and dry food.No, they are too young to eat canned food or dry kibble.Unsure, I have not tried feeding them.

**In the event that H.A.L.O. cannot help with an immediate intake and you have to provide care for the kitten(s), please refer to The Kitten Lady's "Kitten Care Guide" (linked here) to answer any questions you may have!

Young kittens, especially bottle babies, require specific care (ex: bottle babies cannot drink cow's milk!) and her guide will set you and the kitten(s) up for success.**

At this time, H.A.L.O. can only help with cats who are handleable and friendly. Is mama kitty friendly enough to be picked up and placed into a carrier safely?*

YesNo

If H.A.L.O. is able to intake and provide all necessary supplies, would you be willing to foster the mama and kittens until they are ready to be adopted (typically when kittens are 9 weeks old)?*

YesNo

Thanks so much! In addition to submitting this form, please click through to (this link) to fill out our Foster Application.

25. Would you be willing to make a monetary donation at the time of surrender to help cover the cost of their care and vetting?*

YesNo

Thank you so much! How much would you like your donation to be for?*

If possible, please upload a photo of the cat/kitten(s) you have found!

In signing and submitting this document, I,FIRST & LAST NAME, do certify that I am of legal age to give consent and do hereby voluntarily and irrevocably give, donate, surrender and release to Helping Animals Live And Overcome (H.A.L.O.) the animal(s) in question on this form.

I have disclosed any and all material information regarding the medical and behavioral history of said animal(s). I willfully surrender all medical records and information, if any, and give H.A.L.O. and it's representatives permission to contact the treating veterinarian for any records or information which might be in their possession.

I acknowledge that, once relinquished, H.A.L.O. has made no promises regarding the surrendered animal(s) beyond the inclusion in its care and adoption program.

I hereby certify that I am not the rightful owner of the animal(s) who is/are the subject of this Surrender Application. I release and discharge H.A.L.O. from any and all claims, obligations, liabilities and causes of action whatsoever arising out of or relating to the claims, obligations, liabilities and causes of action which may be asserted by other parties.

I understand that by surrendering my property rights to the animal, the animal will not be available to be returned once relinquished, unless I apply and am approved to foster and/or adopt the animal(s) in question when made available by H.A.L.O.. I further certify that I have read and understand the terms of this Surrender Application.

Signature

Today's Date:*

Date