Surrender Request

By completing this form, you are certifying that you are the rightful owner/guardian/caretaker of the described cat and that you have provided accurate information in regards to the cat to the best of your knowledge. Completion of this form does NOT guarantee admittance into Feline Fine Cat Rescue’s adoption program. A surrender fee is required at the time of relinquish (see fee schedule below). If you have multiple cats, please fill out a surrender request for each cat (only one form is needed for a mom with kittens). Incomplete forms will not be processed.

Owner Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone *

Email *

Driver's License #: *

Cat Information

Name *

Age *

Sex *

Male
Female

Spayed/Neutered? *

Yes
No

Breed *

Color *

Declawed? *

Yes, 2-paw
Yes, 4-paw
No

Why are you surrendering this cat? *

When do you need to give up this cat? *

History

How long have you owned this cat? *

How did you originally acquire this cat? *

Please provide the name and number of the last veterinarian that saw this cat, as well as the reason for visit. *

Please describe any known medical conditions or current medications for this cat. *

Please describe what type of food this cat is currently eating and the feeding schedule. *

Is this cat: *

Indoor only
Indoor/outdoor
Outdoor only

Personality

Does this cat get along with: *

Cats
Dogs
Kids
Needs to be only pet

What type of personality does this cat have? *

Select all that apply.

Is there anything else you would like us to know about this cat?

Fee Schedule

Select one *

Intact (NOT spayed/neutered): $75
Altered (spayed/neutered): $50
Fully vetted (current on shots, spayed/neutered, FIV/Felv tested): $25
Special needs (regardless if vetted) requiring prescription medication/food or routine vet visits: $75

Owner Information

Cat Information

History

Personality

Fee Schedule

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