HART of Maine Intake Request
Please fill out this form to the best of your ability. If you are looking to surrender multiple cats, please fill out a different form for each cat!

Please note that filling out this form does not guarantee we will be able to accept your surrender request.
Sign in to Google to save your progress. Learn more
Cat's name *
Cat's age *
Cat's gender *
Did you adopt this cat from HART? *
Is the cat spayed or neutered? *
What is the reason you are looking into surrendering? *
Who is your cat's vet? (If none, write "none") *
What is the cat's medical history? (i.e. When did they last go to the vet? Have they ever had a medical issue? Are they on a special diet? Any behavioral issues, including past and present?) *
What is the cat's temperament? (i.e. Shy, reserved, laid back, couch potato, life of party? Does your cat bite people or scratch them?) *
Does your cat get along with other cats? *
What is your name? *
What city/town do you live in? *
When are you looking to surrender? (please be aware that HART often has a waiting period to take cats in. Is your cat safe where it is currently residing?) *
What is your email? *
What is your phone number? *
When is the best time to reach you by phone? *
Required
Is there anything else we should know?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms