Cat Surrender Form

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Please Read

The first step in surrendering your pet, is to fill out this form. Submitting this form does not guarantee that we will be able to take your pet. Acceptance into our cat/kitten program is dependent upon whether or not we have appropriate foster care for that animal’s needs and whether or not we have the resources necessary to ensure their health. Our

If you have multiple animals, please submit a separate form for each animal.

AOH staff will review the information and determine whether or not your cat/kitten is a good fit for our program.

Please note: Angel of Hope does not have the ability to take in animals with a significant bite history.

Please request your veterinary hospital to email your pet’s records to questions@aohrescue.org.

If your pet is accepted, we will set up a date/time for you to bring them to our office in Dayton. When you arrive for your surrender appointment, AOH staff will observe your animal’s behavior. If staff cannot safely handle your animal, we will decline to accept your pet into our program and will suggest alternative options.

About Your Cat

*

Pet's Name

*

Gender

MaleFemale

*

Are they Spayed/Neutered?

YesNo

If you adopted from AOH, please upload your adoption paperwork.

*

Age of your pet? Month & Year? ex. 1Y 2M

*

What is your reason for surrender?

*

Please attach a photo of your cat.

*

Is your pet up to date with Vaccinations?

YesNo

*

Are there any health issues that we should be aware of?

What vet(s) have you been taking your pet to for wellness?

Name and Phone number.

*

Did you get this pet from Angel of Hope originally?

If so, when?

*

If not from AOH, where did you get the pet from? And how long have you had them?

If this is a stray cat, how long have you had it in your care? What have you done to locate possible owners?

*

Are there any behavior issues we should be aware of?

Litter box issues, biting, spraying, fear, etc.

*

How is the cat with other animals? Kids?

*

Has the cat ever bitten anyone before? If so, please explain.

If yes, please explain the circumstances of what happened.

*

Was the cat allowed outside? Or strictly indoors?

Indoors OnlyIndoors/OutdoorsOutdoors Only

*

Do you authorize your Vet Clinic to release records on this pet to Angel of Hope?

YesNo

Please upload your pets most recent rabies certificate.

Please upload your cats medical records.

Is your cat currently on any medications or supplements?

Heartworm, Flea/tick, Dewormer, Fish oil, any medicine from a veterinarian.

What type of food is your cat currently on? (Wet/dry, brand)

By completing and submitting this form:

*

I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, herein after referred to as “the animal.”

I agree

*

I hereby surrender any and all property rights to the animal.

I Agree

*

I certify that no other person has a right of property to the animal

I Agree

*

I also hereby certify that the animal has not bitten or scratched a human or another animal within the past 10 days.

I Agree

*

I have disclosed any behavioral and health issues for the listed animals.

I Agree

*

I further certify that I have read and understand the terms of this Animal Surrender Form

I Agree

*

I agree my electronic signature is the legal equivalent of my manual signature on this Application. By selecting "I Agree" I consent to be legally bound by this Application's terms and conditions.

I Agree

*

By typing your name, you are providing your electronic signature to this application

*

I understand that by surrendering my property rights to the animal, the animal will become property of Angel of Hope Animal Rescue and will not be returned to me.

I Agree

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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