Surrender Your Cat - City of Elk Grove

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Surrender Your Cat

City of Elk Grove » Government » Departments & Divisions » Animal Services » Animal Shelter » Surrender Your Pet » Surrender Your Cat

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Surrender Your Cat

Owner Surrender Questionnaire: Cats

Your Contact Information

First name:
Last name:
Address:
Phone number:
Email address:

Cat's Information

Name of Cat:
Gender: Male Female
Fixed? Yes No
Microchipped? Yes No
Microchip Number:
Estimated Age:

Help us get to know your cat better

Reason for Surrender:
- If surrendering for medical reasons, please explain
- Have you seen a veterinarian in the last month? Yes No
- If yes, name of veterinarian and date of visit
- Has your veterinarian diagnosed your pet with an illness or disease?
  *The shelter may request records to prevent from repeating any necessary diagnostics performed at your vet.
- Are you interested in discussing your pet's medical issues with the veterinary staff?
Behavior, Litterbox issues, allergies, moving, other:
How long have you had this cat?
How did you get this cat?
Did you get the pet from a rescue or animal shelter? Yes No
If so, where?
This cat lives: Exclusively indoors Indoor/Outdoor Exclusively outdoors
Is this cat declawed? Yes No
The cat's favorite toys and activities are:
This cat is compatible: Other Cats/Dogs Children
Others
Select as many of the following that describe the cat's behavior: Meows a lot Uses scratching post Scratches furniture Lap Cat Claws/bites playfully Fights with cats Hunts rodents/birds Sedate Playful Likes being groomed Walks on leash Likes being held Shy of strangers Outgoing/friendly Feisty and active Independent
Has this Cat ever bitten? Yes No
If yes, when/why?
This cat's diet is Wet Wet/dry mix Dry food
Brand
The cat's feeding time is
Morning: Evening:
Does this cat have any health concerns?
Is there anything else we should know about this cat?

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