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Northwoods Humane Society
Adoptable Animal Shelter in Hayward, WI
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Dog Surrender Form
Cat Surrender Form
Stray Surrender Form
Donate!
Adoptable Animals
Adoption Process
Dog Adoption Form
Cat Adoption Form
Small Animal Adoption Form
Get Involved!
Donations
One-Time Donations
Monthly Donations
Donate Thrift Items
Become a Member
Volunteer
Foster Home Care Volunteer Application
Adult Volunteer Application
Junior Volunteer Application
Volunteer Photo Gallery
Other Ways to Give
Visit our Thrift Shop
Events
Thrift Shop
Community Outreach
Articles & Newsletters
Bark Parks
Behavioral Issues
Lost & Found
Pet Medical Help
Spay/Neuter
Surrender
Dog Surrender Form
Cat Surrender Form
Stray Surrender Form
About Us
Contact
Home
Cat Surrender Form
All fields are required.
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State
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Texas
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Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
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State
ZIP Code
Email
(Required)
Daytime Phone
(Required)
Cat's Name
(Required)
Cat's Name
Approximate Age
(Required)
Approximate Age
Male or Female
(Required)
Male or Female
Male
Female
Not Sure
Spayed or Neutered
(Required)
Is this cat spayed/neutered?
Yes
No
Not sure
Is this cat declawed?
(Required)
Is this cat declawed?
Yes
No
If yes, where was it done?
(Required)
If yes, where was it done?
Has this cat ever bitten anyone?
(Required)
Has this cat ever bitten anyone?
Yes
No
How long have you had this cat?
(Required)
How long have you had this cat?
How did you get this cat?
(Required)
How did you get this cat?
Please select
Stray
Gift
Friend
Pet Shop
Shelter/Rescue
Abandoned
Why do you want to surrender this cat?
(Required)
Why do you want to surrender this cat?
Has this cat been seen by a vet while in your care?
(Required)
Has this cat been seen by a vet while in your care?
Yes
No
Is this cat current on vaccinations?
(Required)
Is this cat current on vaccinations?
Yes
No
What vet and what name is pet listed under?
(Required)
What vet and what name is pet listed under?
Has this cat been treated and/or diagnosed with any of the following:
(Required)
Has this cat been treated and/or diagnosed with any of the following:
Allergies
Urinary tract infection
Upper respiratory infection
Diabetes
Thyroid disease
Seizures
Not applicable
Anything else we should know about your cat's medical history?
(Required)
Anything else we should know about your cat's medical history?
How would you describe your cat most of the time?
(Required)
How would you describe your cat most of the time?
How would you describe the ideal home for this cat?
(Required)
How would you describe the ideal home for this cat?
Please tell us some things you truly love about this cat.
(Required)
Please tell us some things you truly love about this cat.
Are there any quirks/habits you are not fond of in this cat?
(Required)
Are there any quirks/habits you are not fond of in this cat?
How often a day is the cat fed?
(Required)
How often a day is the cat fed?
What is this cat's favorite brand of food?
(Required)
What is this cat's favorite brand of food?
Is food always available?
(Required)
Is food always available?
Yes
No
Is the cat litterbox trained?
(Required)
Is the cat litterbox trained?
Yes
No
Sometimes
If sometimes, how often did the cat have accidents?
(Required)
If sometimes, how often did the cat have accidents?
Please describe the accidents.
(Required)
Please describe the accidents.
Urinates outside box
Defecates outside box
Urinates on clothing/furniture
Sprays on walls/furniture
Not applicable
How often was litterbox scooped?
(Required)
How often was litterbox scooped?
What type of litter was used?
(Required)
What type of litter was used?
Was litterbox covered?
(Required)
Was litterbox covered?
Yes
No
If litterbox accidents were an issue, when did they begin?
(Required)
If litterbox accidents were an issue, when did they begin?
Describe any measures taken to correct the problem.
(Required)
Describe any measures taken to correct the problem.
How does your cat like to play?
(Required)
How does your cat like to play?
Where did your cat spend most of its time?
(Required)
Where did your cat spend most of its time?
How does this cat interact with other cats?
(Required)
How does this cat interact with other cats?
Has this cat been around kids and if so, how does it interact?
(Required)
Has this cat been around kids and if so, how does it interact?
What areas of the home did the cat have access to:
(Required)
What areas of the home did the cat have access to:
Inside only
Outside only
Inside at night
Inside in cold weather
Garage/basement
Barn/shed
As owner or agent of the owner of this cat described herein, I do hereby assign ownership to said cat to the Northwoods Humane Society. NHS will become the sole owner of the animal and may care for the animal in any manner the society sees fit. To the best of my knowledge, as owner or agent of the owner this animals HAS NOT BITTEN ANY PERSON, in the last 10 days. Please type your name in the box as electronic authorization.
SIGNATURE
(Required)
SIGNATURE
Date
(Required)
DATE
MM slash DD slash YYYY
Challenge
(Required)
Please type PAWS to prove you are human:
CAPTCHA
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