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Cat Surrender Request Form

Animals In Distress cannot guarantee the acceptance of any animal.

Your name*

Email*

Phone*

Address*

I want to surrender this cat because:*

How did you hear about us?*

Cat's name*

Cat's gender*

Cat's age / DOB*

How long have you been caring for this cat?*

How did you come into possession of this cat?*

Is this cat spayed or neutered?*

Yes

Not sure

When is the last time this cat has seen a veterinarian?*

What vet care has this cat received?*

What are the cat's known health issues?*

Any current medications or prescriptions?*

Name of cat's veterinarian*

Is this cat declawed?*

Yes

Not sure

Is this cat up to date on vaccinations?*

Yes

Not sure

Does your cat use the litterbox?*

Yes

Yes, sometimes (please explain)

Is this cat indoor or outdoor?*

Indoor

Outdoor

Indoor/outdoor

What is your cat's current diet? Please specify if wet, dry, or both.*

Personality Traits (click all that apply)*

Protective

Lap cat

Food stealer

Shy

Quiet

Scared / hides

Door Greeter

Vocal

Acrobat

Head nudger

Mischievous

Sassy

Aggressive

Any other quirks you'd like to share with us?

Are you willing to submit a monetary donation to Animals In Distress to help cover the expenses of food, litter, vet bills, etc. for the animal you are applying to surrender?*

$50

$100

$200

Other

I agree that the information I am submitting is true to the best of my knowledge.

Animals In Distress, Inc.

Visits are by appointment only. Please email to schedule a time to see our cats and kittens.

animalsindistressnj@gmail.com

The Cat Cottage

720 Edinburg Road, Mercerville NJ 08619

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