Cat Surrender Form
Please Fill out this form completely. This information will allow us to find the right new foster or Furever home for him and or her. Please be honest and accurate. You will hold your cat until a appropriate foster or furever home is found. Please email pictures directly to us at www.affrescue.com questions email Affrescue@aol.com. We look forward to helping your cat find his or her new home. 
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Owners Information - Name: *
Today's Date
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Home Number:
Cell Phone Number:
Work Number:
Full Address:
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Email Address:
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Cats Information - Name:

what Breed or Breeds is your cat?

Is your cat Male or Female?

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what is the Age of your cat?

how much does your cat Weight?

is your cat Spayed /neutered?
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is your cat Current Shots? Date of last Shots?
Name and number of vet who cares for your cat?
Is your cat declawed?
How long have you owned your cat?
does your cat use the litter box? (If not Please explain.)
Does your cat spray around the house? If yes please explain.)
Checked for FIV and Leukemia? (Note: all cats must be checked for this before being adopted out.)
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is your cat Negative or positive for FIV and Leukemia? Name and number of place your cat was checked for FIV and Leukemia?
is your cat on flea and tick medicine? (Date last Received?)
is your cat Good with other cats?
is your cat Good with dogs?
is your cat Good with kids? What age kids?
Is your cat an indoor pet? (If no, please explain.)
Is your cat a escape artist? (If yes, please explain.)
Is your cat good with company and strangers?
Has your cat shown any kind of aggression? (If yes, please explain the circumstances fully.)
To your knowledge, has your cat ever bitten a person or another animal? (If yes, please explain the circumstances fully.)
is your cat Still mouthing? (Kittens)
Personality and temperament of your cat?
Profile for your cat? (This is what people will read when viewing the cat on our site.)
The reason you are giving up your cat?
Any bad habits? (Please explain)
Any health problems? (Please explain)
Any other significant facts we should know about your cat?
I do attest that the cat has never been aggressive to people or another animal. By signing below, I attest that all information given to AFF on this form is true and I understand and agree to follow AFF's terms and conditions in helping me place my cat in a new home. NOTE: Typing your name is accepted as your signature. Owners Signature:
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