Cat Surrender / Rehoming Form - Destitute Animals Shelter

Cats Surrender / Rehoming Form

Your Details

Your Name

Date of Birth

Email Address

Telephone Number

Your Full Address

Postcode

Cat Details

Cats Name

Cats Gender

Cats Age / Date of Birth

Cats Breed

Colour

Neutered

Vaccinated

Vaccination Date

Microchipped

Microchip Number

1. Is your cat neutered or speyed? If yes, what is the date of this?

2. Is your cat vaccinated? If yes, what is the date of the last vaccination?

3. Has your cat been wormed? If yes, what was the date of the last worming?

4. Has your cat been flea treated? If yes, what was the date of the last flea treatment?

5. Is your cat a house cat or an outdoor cat?

6. Does your cat suffer from any allergies? If yes, please state what allergies the cat has

7. Any medical history? If yes, please list all below

We would like to ask you the following questions, as this will really help us re-home your pet, so please be truthful! Thank you.

Why are you rehoming your cat?

Has your cat lived with other cats? If yes, what age and gender was the other cat(s)? How did they get on?

How is your cat with people?

How is your cat with other animals? Such as dogs, etc

How is your cat with children?

Is your cat litter trained?

Does your cat have behavioural issues? If yes, please provide as much detail as you can

Does your cat have any unwanted behaviours? If yes, please provide as much detail as you can

Please upload a recent photo of the pet you are wishing to re-home (max. file size 5MB)

Consent

By signing this form, I hereby surrender / re-home my cat/s to Destitute Animal Shelter to now have full ownership of my cat/s and have full control over any care, veterinary treatment and the adoption of my cat/s. I will no longer be the owner or have any rights over the cat/s and if I do want the cat back while it is at the shelter I will have to go through the correct adoption measures to apply for the adoption of this cat/s.

Full Name Printed

Intake date

Extra notes

Cats Surrender / Rehoming Form

Your Details

Cat Details

We would like to ask you the following questions, as this will really help us re-home your pet, so please be truthful! Thank you.

Consent

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Cats Surrender / Rehoming Form

Your Details

Cat Details

We would like to ask you the following questions, as this will really help us re-home your pet, so please be truthful! Thank you.

Consent

Our Newsletter

How Your Data Is Handled

SUPPORT the Destitute Animal Shelter

Join our lottery for only £10 per month

Chance to win up to £25,000 every month