Kitten Surrender Application
NOTE: Filling out this form does not guarantee we will be able to accept the kittens into our shelter. This form is only for kittens FOUR months of age and UNDER. You will receive a reply to your application within 1-2 weeks to determine if we can place you on our admission waiting list.
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
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Please Select
Geauga
Lake
Cuyahoga
Ashtabula
Trumbull
Portage
Mahoning
Summit
Other
Phone Number
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Please enter a valid phone number.
Email- If you do not have email type: intake@rescuevillage.org
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example@example.com
How many kittens do you have to surrender?
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Based on the chart below, how old are the kittens? (This form is only for cats under 4 months of age. If submitting for a cat 5 months or older, please exit this form and complete the cat surrender form)
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Use your best judgement/guess
If you are able, please upload a photo of the kittens to help us identify their age and needs
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Does the kitten/kittens have a name/names?
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Where did you find the kitten(s)?
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Did you adopt this kitten from our agency (Rescue Village)?
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Please Select
Yes
No
If yes, when did you adopt from us?
Do the kittens have a Mom?
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Please Select
Yes
No
Unknown
If yes, when was the last time you saw the Mom cat?
If yes, is the Mom friendly?
Please Select
Yes
No
Unknown, she won't come near us / is feral
Do the kittens appear healthy, based on the graphic above?
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Please Select
Yes
No
Unknown
Are you able to pick up the kittens without any hissing, growling, swatting?
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Please Select
Yes
No
N/A, these kittens are newborns
Describe how the kittens interact with you and their sociability with human handling.
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Where are the kittens currently living?
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Is there any additional information you would like us to know about the situation? If you adopted this kitten from our shelter or another shelter or rescue group, please indicate that below. If the kitten was adopted from us or another agency we will ask for more information via email if not provided in this section before we can move forward with any possible next steps.
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I agree to check my email (including my spam/junk folder) regarding important communication from Rescue Village in regards to this surrender form
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I understand and will check my email AND spam/junk folder.
I do not have email and will require a phone call instead.
I understand that I must have an intake appointment and that the shelter does not accept walk-in surrenders.
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I understand
I understand that Rescue Village asks for a surrender fee of $50 per litter to help offset the care of these kittens during their stay with us. Under certain circumstances, we can reduce or waive this fee, but it must be discussed with the Intake Manager prior to your intake appointment.
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I understand and can pay the full fee.
I understand and am asking for a reduced fee.
I understand that Rescue Village is NOT an open admission shelter and that Rescue Village is a limited admission, unlimited stay humane society. I understand my application can be denied for any reason.
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Please Select
I agree and understand that Rescue Village may deny my application for any reason.
I do not agree and will seek other options. I understand I will not be contacted by selecting this option.
By signing below, I understand that Rescue Village has the right to deny my surrender form for any reason. I also understand that if my surrender form is accepted, there may be a lengthy wait because Rescue Village does NOT euthanize animals for time or space reasons and can only schedule in kittens as cage space allows.
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Submit
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