Last Litter Program Contract & Surrender Form

First Name *

Last Name *

Physical Address (no po boxes) *

City *

County *

State

Zip Code *

Cell Phone *

Email *

Confirm email

Cat or Dog *

Mom's Breed *

Mom's Age *

Dad's Breed (if dad is known)

Dad's Age (if dad is known)

How many female kittens / puppies? *

How many male kittens / puppies? *

When were they born? *

Are they kept inside, outside, or both? *

Additional Comments

I understand by signing this agreement, I am surrendering ownership of all puppies or kittens in this litter to KD/PD, relinquishing all future rights regarding said animal(s) should they meet the intake criteria for KD/PD, and that I will be acting only as a temporary foster for the puppies or kittens until they are old enough to return to KD/PD.

I understand as KD/PD is now the legal owner of these puppies or kittens, KD/PD has the sole responsibility of placing all the puppies or kittens in qualified homes and, as such, I have no authority to place or promise these puppies or kittens to anyone.

I understand it is my responsibility to bring the puppies or kittens in for vaccinations as scheduled by KD/PD. I also understand that if any of the puppies or kittens become ill or have a medical issue, I am to contact KD/PD ASAP via the contact information given to me.

I understand that KD/PD will perform all vaccinations for the puppies or kittens and spay my female dog or cat at no charge to me provided I fulfill the terms of this agreement; however, if I do not fulfill the terms of this agreement, I will incur a charge for services previously rendered.

SCHEDULE OF MEDICATION ASSESSMENT & VETTING

Initial Assessment: KD/PD will set an appointment for the owner to bring in the puppies / kittens for an inital assessment. If KD/PD agrees to accept the puppies / kittens into the program, our team will administer the appropriate vaccines and/or other treatments for the puppies / kittens appropriate for their age and current health.

KD/PD’s vaccination schedule is as follows:

4 weeks of age: Dewormer and initial intake information
6 weeks of age: Dewormer and Booster Vaccine #1
9 weeks of age: Dewormer and Booster Vaccine #2

Intake: Puppies can be spayed/neutered when they are at least eight (8) weeks of age, weigh at least three (3) pounds and healthy; kittens can be spayed/neutered when they are at least eight (8) weeks of age, weigh at least two (2) pounds and healthy. At that point, their surgery date will be scheduled and after their surgery they will stay at KD/PD for adoption.

Surgery Schedule for Mother: Approximately two (2) weeks later, when the mother’s milk has dried up, KD/PD will coordinate with the owner and schedule a convenient surgery date to spay the mother dog or cat.

There is NO cost to the owners for any of the vaccines, deworming or spay/neuter costs for the mother or puppies/kittens provided the owner meets the provisions of this agreement.

Contact Information

Kitten & Puppy Division, 996 Missouri Avenue, Ste. C, St. Robert, MO 65584

Cats / Kittens – Kitten Division, call 573-336-3939 or text 573-569-9241, email KittenDivision@gmail.com

Dogs / Puppies – Puppy Division, call or text 573-567-0076, email PuppyDivision@gmail.com

Attach State Issued Photo Identification

I have read the Last Litter Program Contract & Surrender Form and understand and agree with all provisions. Please sign --> *