Surrender Form
Please submit one form per cat
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
City
*
How did you acquire this cat?
*
Adopted from VOKRA within the last 4 weeks
Adopted from VOKRA
Adopted from other rescue/shelter
Adopted from individual
Found
Other
You are within your refund period, what would you prefer?
Refund
Donate the fee and get a tax receipt
Name of official VOKRA adopter from adoption contract
*
First Name
Last Name
Your kitty's numeric cat code from your contract, or their name prior to adoption
When did you acquire this cat? (or best estimate)
*
-
Month
-
Day
Year
Date
How long can you keep this cat in your home?
*
Please select
I need this cat moved urgently
I need this cat moved by a specific date
As soon as possible, but not urgent
I can wait until a foster home is arranged
By what date does the cat need to be moved?
*
-
Month
-
Day
Year
Date
Reason for urgency:
*
Cat is at risk
Cat is dangerous
Cat is causing significant property damage
Urgent need to vacate home
Cat has no responsible/available caregiver
Other
Primary reason for Surrender (select one)
*
Found cat, unable to keep
Pregnant cat or litter of kittens
Bonded to another surrendered cat
Aggressive cat
Energetic or noisy cat
Fearful or unsocialized cat
Litterbox issues
Special needs cat
Vet bills
Conflict with child or new baby
Conflict with other pets in home
Family member allergic to cat
Financial difficulty
Personal illness or family needs
Cannot find pet-friendly housing
Long distance move
Not enough time to look after cat(s)
Secondary reasons for surrender (select any/all that apply)
Found cat, unable to keep
Pregnant cat or litter of kittens
Bonded to another surrendered cat
Aggressive cat
Fearful or unsocialized cat
Energetic or noisy cat
Litterbox issues
Special needs cat
Vet bills
Conflict with child or new baby
Conflict with other pets in home
Family member allergic to cat
Financial difficulty
Personal illness or family needs
Cannot find pet-friendly housing
Long distance move
Not enough time to look after cat(s)
Inter-pet conflict (select all that apply)
Other pet is not a cat
One pet is a recent addition
Pets were previously buddies
One-sided bullying
Unrelated cats
Conflict between siblings
Conflict between mother cat and offspring
Has this cat been to the vet for a urinalysis?
Please select
Yes: urinalysis has shown medical issues (past or present - please include details below)
Yes: urinalysis has always been normal (please include date of most recent urinalysis below)
No
Describe reason(s) for surrender
*
Cat's Name
*
Cat's Age
*
Specify: weeks/months/years
Cat's Birthdate (if known)
-
Month
-
Day
Year
Date
Fur length
*
Please select
Short Hair
Medium Hair
Long Hair
Colour and Markings
*
Sex
*
Please select
Male
Female
Unsure/not known
Male:
Please select
Neutered
Unneutered
Not sure
Female:
Please select
Spayed
Unspayed
Pregnant
Nursing
Not sure
Date of Spay or Neuter
-
Month
-
Day
Year
Date of Spay or Neuter
Or best estimate
Vet/clinic where spayed or neutered
Microchip or tattoo
please enter ID code/number
Has this cat been vaccinated?
Please select
Yes
No
Not sure
Do not vaccinate
Vaccinations
Last flea treatment
-
Month
-
Day
Year
Date
Last vet visit
-
Month
-
Day
Year
Date
With which vet/clinic?
Are you able to take this cat for a vet exam prior to surrender?
Yes
No
Other Health information
Current food
*
Raw Diet
Canned Wet
Dry Kibble
Other
Food brand(s) and notes
*
Please include any specific needs: eg sensitivities, favourites, needs flavour rotation, etc
Current Litter
*
Pine pellets
Natural clumping
Paper pellets
Clay
Clumping Clay
Other
Litter notes
Please include any specific needs: eg litterbox type, needs multiple boxes, prefers specific brand of litter, etc
Please confirm: which of the following supplies you can bring with this kitty
*
Current food
Current litter
Litter box
Favourite toys
Favourite bed/blanket
Scratching post/pad
Does this cat go outdoors?
*
Please select
Yes, free roaming
Yes, supervised outings/enclosed area only
No
Temperament (select all)
*
Friendly
Affectionate
Gentle
Calm/easygoing
Confident
Timid
Anxious
Withdrawn
Energetic
Playful
Unpredictable
Aggressive/attacks
Other
Personality Notes
*
Quirks, habits, likes, dislikes
Does this cat get along with...
Other Cats?
*
Please select
Yes
No
Indifferent
Unknown
Dogs?
*
Please select
Yes
No
Indifferent
Unknown
Children?
*
Please select
Yes
No
Indifferent
Older children only
Unknown
Both genders?
*
Please select
Yes
No, fearful of men
No, fearful of women
Unknown
Your household demographics
*
Please submit a recent photo (if not an immediate return), and any documents or recent test results you have - photos of documents are acceptable
Browse Files
Click button again to add another file
Cancel
of
Save and Continue Later
Submit Form
Should be Empty: