Tennessee Tails Rescue - Tennessee Tails Rescue

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Cat Surrender Form

Name:

Address:

Contact Numbers:

Contact Email:

Today's Date:
Name of cat:
Sex of cat:
Age:
How long have you owned the cat?
Where did you get the cat?
How many homes has the cat had?
Why are you surrendering the cat? Please provide as much information as possible.

Is the cat spayed or neutered?
Is the cat up-to-date on vaccinations?

Is the cat current on flea / tick prevention?

What kind of flea / tick medication do you use?

Date of last vet visit:
Can you provide vet records?
Veterinarian

Is the cat microchipped?

Has the cat ever bitten anyone?
Has the cat ever tried to bite anyone?
Has the cat ever scratched anyone?
Has the cat ever tried to scratch anyone?
What is the cats personality like? Select all that apply. Friendly Lap cat Playful Shy Affectionate Demanding Independent Fearful Aggressive

Is there any special traits or bad behaviors we should know about this cat?

Does the cat have any fears we should be aware of?
Does the cat mind being picked up?

How does the cat act with strangers?

How does the cat act in a new place?

Has the cat lived with dogs?

Has the cat lived with other cats?

Has the cat lived with children?
What ages of children has the cat been around?
Has the cat lived with any other animals?

Cat's housing: check all that apply. Inside only Outside only Inside but has supervised outside time Inside but goes outside alone

Where does the cat stay during the day?
Where does the cat stay during the night?
Does the cat claw furniture, carpet, etc?
Does the cat kill rodents or birds?
What brand of food does your cat eat?
Does your cat use a litter box?
How many litter boxes is in your home?
Is the cat declawed?
Is there anything else a future owner should know about your cat?

By signing below I certifiy that I am the owner of, or have the authority to surrender to Tennessee Tails Rescue, the animal described above. I hereby relinquish all rights of ownership and any right to information on the disposition of said animal. I also authorise the release of any veterinary records regarding the animal. I certify that to the best of my knowledge I have disclosed all information about the animal concerning health, behavior, history and anything else that may affect the safe placement of the animal in a new home, and that all statements made above are true and correct.

*By typing your name and submitting this form you are applying your signature.