Cat/Kitten Surrender Request Form
I understand that I am request Paws Cat Shelter to take permanent ownership of the cats/kittens listed below. If Paws Cat Shelter does take them, they will determine the best; most suitable home for placement. By signing this release form, I affirm to the best of my knowledge that:
The cats/kittens below are stray and homeless.
I am returning a previously adopted cat/kitten to Paws.
I am permanently surrendering my cat/kitten to Paws.
Circumstances of turnover: Please give us as much information as you can about the cat/kitten, it will help us to find the best adoptive home we can for it.
Has the cat/kitten ever been to the vet? Have they been altered? If yes please provide the name of the vet or place where altered.
I agree to provide all vet records at the time of surrender.
I have no records
Yes
No
First name
*
Last name
*
Address
*
City
*
State
*
Zip code
*
Phone
*
Email address
*
Description of surrendered cat/kitten:
Name of cat/kitten
Description of cat/kitten
Age of cat/kitten
Sex of cat/kitten
Male
Female
If you have multiple cats you are surrendering please fill out one form per cat. If you are surrendering a mom and kittens please include the kittens on moms surrender form. You can list kittens in the space provided:
Paws is a 5013c non-profit all volunteer, cat and kitten shelter. Would you like to make a donation to assist Paws in caring for the needs of the cats and kittens?
No
Yes
Signature: (Selecting "Yes" makes this a legally binding digital signature.)
*
No
Yes
Date