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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 each question as completely as possible to help us assess our ability to help your cat.

Name of Cat(s)

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

Breed of Cat(s)

examples: long hair, short hair, medium hair

Age of Cat(s)

Please list the age of each cat

Reason for admission?

Spayed or Neutered?

if not altered, a donation towards their neutering would be appreciated

YesNoUnknownsome are fixed, some aren't

Up-to-date on rabies vaccine?

please provide proof of rabies vaccine by uploading it or emailing it to info@spcahancockcounty.org

YesNoUnknown

How did you acquire this cat?

For the purposes of the rest of this form, we will be asking about a singular dog, but this form continues to apply to all the cats which you are trying to surrender. Please consider all cats 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 establishement

MEDICAL/HEALTH ISSUES?

Veterinarian Clinic Name and phone number?

if none, put N/A

To expedite the admissions process, please send your animal's health records to info@spcahancockcounty.org or upload those records here.

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

YesNo

How long have you owned this cat?

Is the cat declawed?

front claws onlyfront and back clawsno

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 - hides from themNo - hisses and swats at 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 regarding the circumstances of the bite?

Has this cat been allowed outdoors?

this cat has been outdoors onlyno, this cat has been indoors onlythis cat has been gone in and out as it pleasesthis cat has been outdoors but only on a harness/leash or in an enclosed space like a catio

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