Cat Re-homing Form

First Name

Last Name

Full Address (including postal code)

Email Address

Phone Number Home

Phone Number Cell

Your Cat's Name

Pet's Age

Colour

Breed Breed Long Hair Short Hair Persian Himalayan Siamese Other

Sex Sex Male Female

Spayed or Neutered Spayed or Neutered Yes No

Declawed Declawed Yes No

Declawed Details Declawed Details Front Only All 4 Not Applicable

Microchipped Microchipped Yes No

Reason why you wish to surrender (please be as specific as possible)

Behaviour Issues

How long have you owned the cat?

Where did you get the cat?

Has the cat ever bitten anyone? Has the cat ever bitten anyone? Yes No

Does that cat use its litter box? Does that cat use its litter box? Yes No

If not, what steps have you taken so far to resolve the issue?

What type of food do you feed your cat?

Name of your Vet Clinic

When was the cat’s last vaccination?

Last vet visit?

Health Issues?