Owner surrender cat profile form

Your Information

Your first name*

Your last name*

Address*

City*

Zip code*

Email*

Phone*

Cat Information

Cat name*

Age of cat?*

How long have you owned the cat?*

Is the cat:*

Male

Female

Is the cat spayed or neutered?*

Yes

Is the cat current on its rabies vaccination?*

Yes

Does the cat have any known medical conditions that require special treatment or medication?*

Yes

If yes, please explain:

Does the cat use the litterbox?*

Yes

Do you have other cats in the home?*

Yes

Does the cat allow you to pick them up or handle them?*

Yes

Has the cat ever bit anyone, including you or others in your home?*

Yes

Has the cat ever bit another animal?*

Yes

Does the cat typically hide from you?*

Yes

Does the cat typically hide from visitors or strangers?*

Yes

Is your cat normally an indoor or outdoor cat?*

Indoor

Outdoor

Both

Why are you surrendering this cat?*

Please read the following important information

I understand that completion and submission of this form does not mean that ICACS will immediately accept my animal. I may be placed on a waitlist if the shelter is at its maximum capacity for care.*

I understand

I understand that when ICACS contacts be to bring my animal in, it must be brought to the shelter within one business day. Failure to do so may result in being placed back on the waitlist.*

I understand

I understand that I must bring pictured identification and all of my animal medical records to the shelter at the time of surrender.*

I understand

I understand that ICACS makes no guarantee of future placement for my pet. ICACS may euthanize animals if they are medically suffering, if they demonstrate behavior that makes them potentially unsafe to be placed in a home, or if the shelter reaches its maximum capacity for care.*

I understand

Cat Profile Form

Your Information

Cat Information

Please read the following important information