TNR Application
Primary Caregiver Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name of associated rescue group(s) (if applicable):
Cat Colony Information
Location of colony (please include specific address and description i.e. woods behind my house):
*
Estimated number of cats in the colony:
*
Estimated number of cats already spayed/neutered:
*
Do you provide food/water to the colony/stray cat?
*
Yes
No
How long have you been caring for this colony?
*
Once the cats are spayed/neutered, will they (choose all that apply):
*
live outdoors only (heated garage/barns/sheds included)
be an indoor/outdoor cat
live indoors only
be adopted out to other families
I prefer my appointment to take place at:
The Humane Society of Kitchener Waterloo (250 Riverbend Dr, Kitchener, ON)
The Humane Society of Stratford Perth (125 Griffith Rd, Stratford, ON)
Either location
I would like to receive emails from The Humane Society of Kitchener Waterloo & Stratford Perth, 250 Riverbend Dr, Kitchener, Ontario, Canada N2B 2E9. Website: kwsphumane.ca. Phone 519-745-5615. I understand that I can unsubscribe at any time using the SafeUnsubscribe button found at the bottom of every email.
Yes
No
I have read and understood The HSKWSP TNR Program Information sheet and agree to operate within the program regulations.
Signature
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: