[City of Huntsville] Cat Surrender Form

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Full Name

First Name

Last Name

Address Autocomplete

Address or Location

How did you receive your pet?

Rescue from a shelter

Friend

Family member

Purchased or received the pet as a kitten

Please type the name of the shelter where you adopted your pet.

When did you receive your pet?

In which State, City and County did you first receive your pet?

Are you currently providing your pet with any type of flea control?

Yes

What kind of flea control are you providing to your pet?

Is your pet currently receiving heartworm prevention?

Yes

What kind of heartworm prevention?

Have you made any attempt to rehome the pet yourself by speaking with friends, family and coworkers? Or by advertising the pet on sites such as Facebook and Craigslist? Please explain in detail.

Is your animal a cat or a kitten?

Cat

Kitten

Please describe, in detail, why you wish to surrender your pet so we may provide you with the best option(s) for you and your pet.

If we provided you with a solution to the challenges you mentioned above, would you be interested in keeping your pet?

Yes

What is your cat's name?

What is your cat's age?

What is your cat's gender?

Is your cat spayed or neutered?

Yes

Is your cat declawed?

Yes

Where did you acquire the cat?

How old was the cat when you acquired him/her?

How long has this cat lived with you?

Has your cat visited a veterinarian?

Yes

Who is your veterinarian?

Why are you surrendering your cat?

What is your cat's personality like?

Friendly

Shy

Independent

Fearful

Playful

Affectionate

Describe your cat’s personality in your own words.

Does the cat spend most of his/her time:

Inside

Outside

Both inside and outside

When inside, where does your cat spend most of the time?

If your cat goes outside, does he/she stay close to the house? Wander off? Fight with other cats?

Does your cat like to sit on your lap?

Yes

Does your cat like to be petted?

Yes

What does he/she do when he/she has had enough petting?

Does your cat like being picked up?

Yes

What does he/she do if he/she doesn’t want to be picked up?

Is your cat afraid of, or uncomfortable with:

Women

Men

Children

Infants

No one

What does he/she do when uncomfortable?

Run away

Hiss

Swat

Scratch

Bite

Does your cat show aggression towards family members or visitors?

Yes

If yes, what does he/she do?

Run away

Hiss

Swat

Scratch

Bite

What do you do if your cat becomes aggressive?

What other animals has your cat lived with?

Dogs

Cats

How does your cat interact with other cats?

How does your cat interact with dogs?

What type of litterbox do you have?

Covered

Uncovered

How many boxes do you have?

Where are they located?

What type of litter do you use?

Clay

Clumpings

Shavings

Does your cat ever eliminate outside the litterbox?

Yes

What kind of eliminations would your cat make outside of the litterbox?

How frequently?

Daily

Weekly

Once in a while

Where does he/she eliminate if not in the box?

How long has your cat been inappropriately eliminating outside the litter box?

If urinating outside the box is he/she spraying (urine found on vertical surfaces)?

Yes

What have you tried to help the inappropriate elimination?

Does your cat have any medical problems?

Yes

Is your cat currently on any medications or special diets?

Yes

How often does your cat eat dry food?

Once daily

Twice daily

Free feed

Never

How often does your cat eat canned food?

Once daily

Twice daily

Free feed

Never

Does your cat like to play?

Yes

If so, what is his/her favorite game/toy?

What is your cat’s best quality?

What is your cat’s worst quality?

Please upload a picture of your cat.

Click Here to Upload

By signing below, I acknowledge that I have reviewed and understand the terms and conditions outlined on the Surrendering Your Pet to the Shelter page.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Cat Surrender Form

Pet Information