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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Information About The Cat

Please answer all questions as fully as possible to help our staff assess our ability to help.

Name of Cat(s)

Please list the names of all cats you are looking to surrender

Breed of cat(s)?

Ex. long hair, short hair, medium hair, Maine coon, etc.

Age of Cat(s)

Please list how old each cat is

REASON FOR ADMISSION?

Spayed or Neutered?

If not altered, we recommend an additional surrender fee to help cover the cost of surgery.

YesNoUnknownSome are fixed, some aren't

Up-to-date on rabies vaccine?

Please provide proof of rabies vaccination by uploading it, emailing it to info@spcahancockcounty.org or by bringing it to your surrender appointment.

YesNoUnknown

How did you acquire this cat?

For the purpose of the remainder of the admission form, we will be asking about a singular dog, but this form continues to apply to all dogs you are trying to admit to the SPCA of Hancock County. Please consider all dogs you are trying to surrender in your answers.

If adopted from a rescue, humane society or animal shelter, please provide the name and location of the establishment.

MEDICAL/HEALTH ISSUES?

Veterinarian Clinic Name and phone number

If no clinic, please put N/A

To expedite the admissions process, please contact your veterinarian and have copies of your animal's health records sent to the SPCA of Hancock County via email to info@spcahancockcounty.org, fax to 207-667-8011, or bring the records with you to your surrender appointment. You may upload these records now if you have them.

You may upload JPEGs, PNGs, or PDFs.

Do you have records showing that this cat has been tested for FIV/FeLV?

YesNo

How long have you owned this cat?

Is the cat declawed?

NoFront paws onlyFront and back paws

Has this cat lived with other pets?

Check all that apply

NoCatsDogsSmall caged petsBarnyard animals

Please explain any concerns about other animal interactions.

Does the cat get along with small children?

YesTolerates them but needs spaceNo - hisses and scratches themNo - hides from them

Does your cat use the litterbox consistently?

Please note any litterbox concerns here, such as going outside the box, unusual litter habits, etc.

Does the cat have a preferred kind of litter?

Examples: pellets, clay, synthetic, corn, wood chips, etc.

The cat enjoys the following activities:

Please select all that apply

Being pettedBeing picked up and heldSitting on lapsBeing brushedGoing outsidePlaying with toysEating treatsScratching furnitureClimbing and jumpingHuntingSleeping in bed with ownerRunning around with the zoomies

Does the cat nip or bite?

Please select all that apply.

NoSometimes when playfulGives love bitesCat will nip at you when it's irritatedYes, this cat is spicy and will bite you

Do you want to add any details about the circumstances to the answers provided to that last question?

Has this cat been allowed outdoors?

This cat has been outdoors-onlyNo, this cat has been indoors-onlyCat has gone inside and outside as it pleasesCat has been outdoors but only on a harness/leash or in an enclosed space like a catio

Does the cat preferred an enclosed (hooded) litterbox?

YesNoUnknown

Legal

By submitting this application, I understand that this shelter has the right to accept or deny my surrender application. I acknowledge that only persons who have legal ownership over an animal have the right to relinquish it and that the SPCA cannot accept an animal from me if I am not the legal owner or if I am not authorized to act on behalf of the legal owner.

I understand that the SPCA of Hancock County is a not-for-profit organization and that there are recommended surrender fees. I acknowledge that the surrender fees are the following:
CATS:
Recommended donation of $30 for a single kitten up to 5 months and younger
Recommended donation of $30 for a single cat 6 months and older that is current on vaccinations and has been spayed/neutered
Recommended donation of $50 for a single cat 6 months and older that is NOT current on vaccinations or is NOT spayed or neutered
Recommended donation of at least $40 for a litter of kittens (up to 5 months old), depending on the size of the litter

I understand it may take a few days for an SPCA representative to call me, after reviewing this application.

By checking this box, you are agreeing to all terms and conditions, and clicking "I accept" is recognized as your electronic signature in lieu of a standard signature.

I accept all terms

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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Cat Admissions Form

Personal Information

Information About The Cat

Legal