Surrender Form Cat Surrender Form Please note that once you surrender your cat, D&R Cat Rescue has sole discretion regarding the care, treatment, and rehoming of the cat. Surrendering of this cat is permanent and you will not be able to reclaim the cat. The cat rehoming fee is $75/cat. Surrendering Party Information Name * First Name Last Name Email * Phone (###) ### #### Preferred contact method: Email Text Phone call Address Address 1 Address 2 City State/Province Zip/Postal Code Country Cat Information Are you the cat's original owner? * If you are not the cat's original owner, are you the current legal owner of the cat? * How long have you had the cat? * Cat's name * Breed * Color/Markings * Age/Date of Birth (if unknown, please estimate) * Sex * Male Female Microchipped * Yes No If yes, microchip number: Is the cat vaccinated? If yes, include dates of last vaccinations. * Known medical issues: * Where do you keep the cat during the day? * Indoor Only Outdoor Only Indoor/Outdoor Barn Only Other Where do you keep the cat during the night? * Indoor Only Outdoor Only Indoor/Outdoor Barn Only Other How does the cat react to strangers? * Friendly Ignores Hides Hisses May bite Aggressive Does the cat like to be held? * Is the cat afraid of anything in particular? * Please provide any additional information that may be relevant. Ownership Certification I certify that I am the legal owner of the cat described above. I confirm that there are no other co-owners, and that I have the legal right to surrender this cat. I understand that by signing this form, I am permanently relinquishing all rights of ownership and any future claims to this cat. * Please enter your full legal name below. Acknowledgement and Agreement I acknowledge that: I am voluntarily surrendering the above-mentioned cat(s) to D&R Cat Rescue. I understand that once the cat is surrendered, D&R Cat Rescue has sole discretion regarding the care, treatment, and rehoming of the cat. I understand that the surrendering of this cat is permanent and that I will not be able to reclaim the cat. I confirm that all information provided in this form is true and accurate to the best of my knowledge. * Please enter your full legal name below. Thank you for completing a cat surrender form. We will be in touch shortly.
