Cat surrender form
Questions marked by * are required.
1. Owners Information - Name *
2. Todays Date
3. Home Number
4. Cell Phone Number
5. Work Number
6. Full Address
7. Email Address *
8. Cats Information - Name
9. Breed or Breeds?
10. Male or Female?
11. Age?
12. Weight?
13. Size when fully grown?
14. Spayed /neutered?
15. Current Shots? Date of last Shots?
16. Name and number of vet who cares for your cat?
17. Is your cat declawed?
18. How long have you owned your cat?
19. Goes in the litter box? (If no, please explain.)
20. Does your cat spray around the house? (If yes, please explain the
21. Checked for FIV and Leukemia? (Note: all cats must be checked for this before being adopted out.)
22. Negative or positive for FIV and Leukemia? Name and number of place your cat was checked for FIV and Leukemia?
23. On flea and tick medicine?
24. Good with other cats?
25. Good with dogs?
26. Good with kids? What age kids?
27. Is your cat an indoor pet? (If no, please explain.)
28. Is your cat a escape artist? (If yes, please explain.)
29. Is your cat good with company and strangers?
30. Has your cat shown any kind of aggression? (If yes, please explain the circumstances fully.)
31. To your knowledge, has your cat ever bitten a person or another animal? (If yes, please explain the circumstances fully.)
32. Still mouthing? (Kittens)
33. Personality and temperament of your cat?
34. Profile for your cat? (This is what people will read when viewing the cat on our site.)
35. The reason you are giving up your cat?
36. Any bad habits? (Please explain)
37. Any health problems? (Please explain)
38. Any other significant facts we should know about your cat?
39. I do attest that the cat has never been aggressive to people or another animal. By signing below I attest that all information given to AFF on this form is true and I understand and agree to follow AFF's terms and conditions in helping me place my cat in a new home. NOTE: Typing your name is accepted as your signature. Owners Signature
40. Date