Leuk's Landing Admissions Form

Leuk's Landing Admissions Request Form
This is our admissions process:
Complete this form.
If you have not done the PCR test to confirm FeLV, get it done.
Email all vet records showing all the items on the list have been done.
Once we have all vet records we'll give you an idea of when we might be able to get the kitty admitted.

Please remember to hit "SUBMIT" at the end or your information will not be saved and sent to us. Contact us at leukslanding@gmail.com with any questions regarding this form. Thank you!
Full Name*

First NameLast Name
E-mail*
Cell phone*

Area CodePhone Number
Are you with...

A rescueA shelterAn individual that found a FeLV cat/kittenOther
Please complete one form per kitty. If you have multiple kitties for admission, please complete a form for each one.
Cat name*
Approximate age of the kitty*
Gender of kitty*

MaleFemale
When did you acquire the kitty (approximate date is fine)?*

MonthDayYear
Date
Before we can put a kitty on our waitlist or consider them for admission, we require several things. Please indicate which of the following have been done so far. Once all have been done, please email the complete vet records (not receipts) to leukslanding@gmail.com.

The PCR test is required since the snap test is wrong 30-40% of the time. We no longer accept the IFA test.
Which of the following have been done?*

Spay or neuterRabiesDistemperDistemper boosterWormedFlea treatmentFecal tested including giardia and coccidiaPCR tested (prefer Idexx 26354 or 26355 but will accept Antech PCR)
In what geographic area is the kitty currently located?*
Any other information about the kitty we should know?
Do you think the kitty will get along with other cats*

YesNoNot sure
Do you know if the kitty will get along with a dog?*

YesNoNot sure
If you have a photo of the kitty please email to leukslanding@gmail.com
Thank you!

leukslanding@gmail.com
Should be Empty:

Leuk's Landing Admissions Request Form

Thank you!