Cat Angels Pet Adoptions · Surrender Form

Date

(mm/dd/yyyy)

Contact Information

Name

*

First Name

Last Name

Phone

*

Email

*

Verify Email

*

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Will you be making a donation to help us provide veterinary care?

Expenses for each cat at Cat Angels runs hundreds of dollars for healthy cats and thousands for cats that need medical treatment. Please consider a gift to help us help the cat we are taking into our program. We accept Cash, Check, Credit or Paypal.

Yes

No

Not today but I will

Cat(s) Information

What is the name of the cat? (List each)

If this is a Cat Angels cat, please list the Cat Angels name (the name at the time you adopted) if you know it. It may be found on the adoption materials sent home with you.

Where was this animal found?

City, County, Address

How long have you had this animal?

Regarding where the animal was found, are there feeding stations where wildlife may also eat?

If so, what kind of wildlife?

Is this a stray animal?

Yes

No

Unknown

Is this your animal?

Yes

No

What is the sex of the animal?

Male

Female

Unknown

Is the animal spayed/neutered?

Yes

No

Unknown

How old is this animal?

Describe the animal's personality.

Is it friendly, unfriendly? What do you know about it's demeanor?

What is the breed of this animal?

Describe the color and markings of the animal.

Has this animal had any veterinary treatment?

Yes

No

Unknown

If so, please describe the veterinary treatment.

Please provide the name and/or practice name of the veterinarian.

Please provide address, URL and/or phone for the veterinarian/practice if possible.

To your knowledge, has this animal been bitten by any another animal?

Yes

No

To your knowledge, has this animal bitten any other animal?

Yes

No

To your knowledge, has this animal bitten any people?

Yes

No

Why are you surrendering this animal?

Was this cat adopted from Cat Angels Pet Adoptions?

Yes

No

Unknown

Do you have any other Cat Angels cats in your home?

Yes

No

If yes, who?

Was this animal previously adopted from another rescue group?

Yes

No

Unknown

If so, have you tried to return this animal to that rescue group?

Yes

No

What is the name and location of the rescue group?

If you have not contact the other rescue group, why not?

Statement of Surrender

I do hereby release the above animal to Cat Angels Pet Adoptions. I certify that I am the owner of this animal, or that this animal is a stray and the owner is unknown to me. I understand and agree that Cat Angels Pet Adoptions will be the owner of record of this animal. I release Cat Angels Pet Adoptions, and its volunteers and employees from any and all liability relating to the disposition of this animal, and the decisions made thereto. By entering my name below, I agree to these terms.

Electronic Signature

Enter your full name.

Date

Witness/Cat Angels Representative

Enter full name.