Lucky Cat Rescue Surrender Form
Applicants First & Last Name
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Applicants Full Address
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Pet's Name
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Telephone Number
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Email address
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Please provide an in depth description of your pet.
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Please explain the reason for rehoming in your own words.
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Does your pet have a history of biting/attacking either animals or people?
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Please Select
No
Yes
Is your pet good with children?
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Please Select
No
Yes
Is your pet good with cats?
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Please Select
No
Yes
Is your pet good with dogs?
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Please Select
No
Yes
Is your pet up to date on vaccinations?
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Please Select
No
Yes
Is your pet spayed/neutered?
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Please Select
No
Yes
What is the gender of your pet?
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How old is your pet?
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Please indicate the breed of your pet
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What species is your pet?
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How did you come into possession of this animal, and how long have you had them?
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Please attach a picture of your pet.
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Does your pet have any chronic illness or take daily medications? If so please explain.
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Does your pet have special needs? Please explain if so.
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Please provide a copy of your pets medical history.
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Additional vet records
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I acknowledge that I have the legal ownership of this pet to rehome and that rehoming another person's pet can be punishable by law.
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Please enter todays date.
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