Surrender Application

To be filled out when a surrender is requested by the owner. Submitting this form does not guarantee placement with AAR. Applicants will be contacted by AAR for more information if needed or when placement is available. By submitting this form you will be added to the waitlist.

Owner's First Name *
Owner's Last Name *
Street Address *
City *
Province *
Postal Code *
Email Address *
Confirm email
Phone Number *
Entry due to: *	Surrender
Cat's Name *
Cat's Gender *	Please Select Male Female
Cat's Age *
Cat's Colouring: *
Cat's Coat Length: *	short hair medium hair long hair
Is the cat neutered/spayed? *	NoYes
Is the cat good with other cats? *	Yes No Unknown Selective
Is the cat good with dogs? *	Yes No Unknown Selective
Is the cat good with children? *	Yes No Unknown Selective
Microchip No:
Please describe any special markings or defining features of the cat: *
Current Veterinarian: *
Please list any medical issues, current medications or diet requirements: *
Reason for requesting surrender? *
Has the cat shown aggression towards: *	People Other Cats Dogs None of the Above
Has the cat bitten anyone in the last 10 days, and if so was Heath Canada notified? *
When would you need the cat taken by? *
Please provide a picture of the cat *
All information provided by the Owner regarding the cat to be surrendered is true and correct to the best of the Owner's knowledge and belief. *	Please Select I Agree
Owner's Signature *	Clear
Date *