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Cat Surrender Request Form

Animals In Distress cannot guarantee the acceptance of any animal. Please note that we are a small rescue and our foster space is limited. We are more likely to be able to help you if you agree to foster the animal and provide a generous donation.

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 and what brand(s).*

Personality Traits (click all that apply)*

Protective

Lap cat

Food stealer

Shy

Quiet

Scared / hides

Door Greeter

Vocal

Acrobat

Head nudger

Mischievous

Sassy

Aggressive

Describe your cats behavior around other animals.*

Please check off the things that your cat does not like.*

Nail trims

Being held

Other cats

Dogs

Loud noises

Brushing

Belly Rubs

Please check off the things that your cat likes.*

Nail trims

Being held

Other cats

Dogs

Brushing

Belly Rubs

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? Please be honest about what you will donate at time of surrender.*

$100

$250

$500

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 fill out our adoption application to see our cats and kittens.

animalsindistressnj@gmail.com

The Cat Cottage

720 Edinburg Road, Mercerville NJ 08619

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