Kitten Surrender Application
Filling out an application does not guarantee that we will be able to accept the kitten(s) into our shelter. This application is only for kittens under 4 months of age. If submitting for a cat over 4 months, please exit this form and complete either the Owned Cat Surrender Application or Stray Cat Surrender application based on your situation.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Please Select
Geauga
Lake
Cuyahoga
Ashtabula
Trumbull
Portage
Mahoning
Summit
Other
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How many kittens do you have to surrender?
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What is the reason you need to surrender the kittens/kitten? Please give as much detail as possible:
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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.)
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Use your best judgement/guess. If we determine this is an adult cat or cat over 4 months of age, you will be asked to complete the appropriate surrender application.
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?
*
Where did you find the kitten(s)?
*
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?
*
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?
*
Please Select
Yes
No
Unknown
Are you able to pick up the kittens without any hissing, growling, swatting?
*
Please Select
Yes
No
N/A, these kittens are newborns
Describe how the kittens interact with you and their sociability with human handling.
*
Where are the kittens currently living?
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Is there any additional information you would like us to know about the kitten(s)?
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I understand that Rescue Village has a service area and that if I am outside of that service area, I may be directed to other agencies for assistance depending on the situation, shelter capacity, waiting list length, etc.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
I understand that Rescue Village requests an intake fee of $50 per cat to assist with cost of care.
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I understand and can pay the full fee.
I understand and am asking for a reduced fee.
I understand that I MUST have an intake appointment and that Rescue Village does not accept walk-in surrenders.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
I agree to check my email (including my spam/junk folder) regarding important communication from Rescue Village in regards to this surrender application.
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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 Rescue Village is NOT an open admission shelter, meaning not every application is able to be accepted. I understand that Rescue Village is a limited admission, unlimited stay humane society and that my application can be denied for any reason.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
I understand that if my application is accepted, especially during spring and summer when it's "kitten season", I may be placed onto a waiting list as Rescue Village never euthanizes for space. I understand that this waiting list may be lengthy.
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I understand
I am unable to wait and will seek out other options. I understand by selecting this option I will not be contacted.
Please understand that pets often behave differently in a shelter environment than they do at home or in their outdoor home due to stress and unfamiliar surroundings. For this reason, shelter surrender is not always the best or most appropriate option for every pet.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
Rescue Village reserves the right to decline surrender requests at its discretion. We kindly ask that all interactions with our staff remain respectful. Any use of inappropriate behavior may result in refusal of services.
Please Select
I agree
I do not agree and will seek other options
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 animals as species appropriate space allows.
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Submit
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