Surrender Request Form
If you need to surrender a cat to Ohio Alley Cat Rescue, please answer all questions in this form honestly and completely. A staff member will then reach out through email to discuss your animal(s) and see how and when we can best assist you.
Date
*
-
Month
-
Day
Year
Date
Your Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Animal Name
*
Animal Age (years)
*
Sex
*
Male
Female
Unknown
Number of cats to surrender
*
Is the animal spayed or neutered?
*
Yes
No
Unknown
I need to surrender a litter of 2 or more kittens (under 4 months of age) that DO NOT have a mother cat with them.
*
Yes
No
Is the animal good with (select all that apply):
*
Cat
Dog
Children
Men
Women
Strangers
Other
Is the animal NOT good with (select all that apply):
*
Cat
Dog
Children
Men
Women
Strangers
Other
Describe the animal's personality (check all that apply):
*
Affectionate
Fearful
Friendly
Aggressive
Shy
Playful
Other
Does the animal have separation anxiety?
*
Yes
No
Is there anything the animal does not like?
*
Yes
No
Brand/Type of food animal eats?
Does the animal have any past or current medical concerns or conditions?
*
Yes
No
Has the pet ever (select all that apply):
*
Bitten
Attacked
None of the above
The animal has lived with (select all that apply):
*
Cats
Dogs
Birds
None of the above
Other
Is this cat litter-trained?
*
Yes
No
Does the cat ever spray or mark outside the box?
*
Yes
No
Can the cat easily be caught, picked up, and carried?
*
Yes
No
Is the animal up to date on vaccinations?
Yes
No
Unknown
Does the animal have any known health issues or special needs? Please describe.
*
Reason for surrendering the animal
*
How long have you owned the animal
*
Please describe the animal's behavior and temperament (e.g., friendly, shy, aggressive, good with children/other pets).
*
Please attach a picture of the animal(s) as pictures can help us determine what size cage is needed, how old animals are (especially kittens), etc.
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of
Surrender Contract
I understand that upon submitting this surrender request form, the form will be sent to staff at Ohio Alley Cat Rescue. A staff member will then reach out to me via email within 1-3 business days to discuss scheduling an intake appointment for my animal(s). I understand that Ohio Alley Cat Rescue requests a $40 surrender fee to help offset the costs of animal housing and medical care (such as spay/neuter surgery, vaccines, microchipping, etc.) I understand that my animal(s) will be evaluated at the time of a scheduled intake/surrender appointment. If my animal(s) cannot be handled, demonstrate aggression or severe fear, or has other behavioral or medical concerns that Ohio Alley Cat Rescue cannot manage, then I will be asked to take the animal back with me as Ohio Alley Cat Rescue will be unable to take in the animal(s).
I agree to the above release statement and consent to the terms.
*
Yes
Submit Request
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