Thank for your interest with Smelly Cat Rescue. Once you complete this form, please be aware:
If you have photos of the cat(s) you are looking to surrender, please email them to meow@smellycatrescue.org and reference the cat's name or your name in the Subject.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone*
Cat Name
Cat Age
Gender Choose one: Female Male Unknown
Is the cat spayed/neutered? Choose one: Yes No Unknown
Color
Breed
Microchip number (if applicable)
Is this cat declawed? Choose one: Yes - front only Yes - all 4 paws No Unknown
Reason for surrender (this will help us find placement and aid in finding an adoptive family, no judgement!)
Has the cat ever bitten anyone before? Choose one: Yes No Unknown
Has this cat been tested for FIV/FeLV (feline leukemia)?* Choose one: No Yes - Negative for both Yes - FIV+ Yes - FeLV+
Is this cat currently taking any medication? Choose one: Yes No Unknown
If yes, please provide the name of the medication and reason for taking it.
Is this cat up-to-date on vaccines?* Choose one: Yes No Unknown
If this cat has been to a vet, please list the vet clinic where they were last taken. (Date of last visit, Name and phone number)
Does this cat have any known medical issues?
Can you provide records from the most recent veterinarian visit?* Choose one: Yes No
Does this cat use a litterbox? Choose one: Yes No Unknown
Where is this cat from? (adopted from shelter, outside stray, taken in from friend/family, etc.)*
Where does this cat live? Choose one: Inside only Outside only Inside/Outside
How does this cat react around other cats? Choose one: Loved them! Played together Ignored each other Stressed this cat This cat should not live with other cats N/A - has not been around other cats Unknown
How does this cat react around dogs? Choose one: Loved them! Played together Ignored each other Cat tormented dog Cat is scared of dog N/A - has not been around dogs Unknown
How does this cat react around strangers? Choose one: Greets and is friendly Hides but will eventually come out when comfortable Does not like strangers
Is there anything else we should know about this cat?
Owner Driver's License Number & STATE*
Are you able to foster this cat until placement is found or becomes available? Choose one: Yes No
When do you need to find placement for this cat?
How did you hear about us?
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal who is the subject of this animal surrender form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights to the animal. I hereby irrevocably relinquish the animal to Smelly Cat Rescue. I certify that no other person has a right of property to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned. I further certify that I have read and understand the terms of this animal surrender form.
I agree to these terms