Surrendering a CatIf you need to surrender your cat to the APCSM, please fill out the form below. A staff member will contact you after reviewing the information.Please provide as much detail as possible. The information you provide is crucial to your pet’s success in the shelter.We ask for a surrender fee at the time of surrender in order to help us offset the cost of care for the animal during their stay. Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Cat's name * Cat's age * Gender * Please check all that apply Male - neutered (fixed) Male - intact (not fixed) Female - spayed (fixed) Female - intact (not fixed) Predominant colors/markings * Please explain why you need to surrender your cat. * Where did you get the cat? * How long has the cat lived with you? * How many homes has the cat had? * Why did the previous owner give up the cat? * If not applicable, write n/a Litter Box Habits What type of litter box is the cat used to? * i.e.: covered, open, etc. How many litter boxes are in the home? * What type of litter is the cat used to? * i.e. clumping clay, pellets, etc. Where was the litter box located? * i.e. in the basement, laundry room, living room How often is the litter box cleaned? * Does that cat have accidents outside of the litter box? * Please check all that apply Never Yes - urinates Yes - defecates Yes - sprays Where does your cat have accidents? i.e. right outside of the box, on clothing, on furniture, etc. If not applicable, write n/a How often does your cat have accidents outside the box? i.e. daily, weekly, monthly. If not applicable, write n/a For how long has this behavior been observed? If not applicable, write n/a What changes or steps have been taken to try to correct this behavior? i.e. used Feliway spray/plug-ins, sanitized areas of soiling, etc. If not applicable, write n/a Medical History Cat's veterinarian * Date of last vet visit * What name are the vet records under? * We will need to obtain any past medical records. How does the cat react at the vet? * Does the cat have any past or present medical problems/injuries? * Please describe. Please indicate if you've noticed any coughing, sneezing, vomiting, or diarrhea * Check all that apply Coughing Sneezing Vomiting Diarrhea None of the above Is your cat on a veterinary prescribed diet? If yes, please specify the diet. * Any recent changes in appetite or drinking habits? * i.e. decreased appetite, drinking a lot of water, etc. Date of last flea/tick preventative. Please include brand. * If not applicable, write n/a Is the cat microchipped? * Yes No Unsure Diet How often is the cat fed? * Once daily Twice daily Free fed What type of food does the cat eat? * Dry Canned What flavors/brands does the cat prefer? * Behavior Please check all that apply. The cat: * Likes to be picked up Does NOT like to be picked up Likes to be patted Does NOT like to be patted Likes to sit on your lap Does NOT like to sit on your lap Does the cat ever act aggressively? If yes, please explain. * Please indicate if the cat ever hisses, swats, scratches, or bites, and include circumstances in which this happens. Is the cat uncomfortable being touched or handled in any way? * i.e. doesn't like paws touched, doesn't like being carried, etc Where does the cat spend most of his/her time? * Is the cat indoor or outdoor? * Indoor Outdoor Does the cat try to escape? * Yes No Unsure Has the cat lived with children? If yes, please list their ages. * How does the cat interact with children? * How does the cat behave around visitors? * i.e. very social, hides, hisses, etc. Has the cat lived with other animals? If yes, please indicate species/how many/breeds/sexes * i.e. has lived with 3 other cats, 2 females and one male How did he/she interact with the other animals? * If not applicable, write n/a Do you trim your cat's nails? If not, who does? * How does the cat respond to being brushed? Play Does the cat like to play? If yes, please describe level of play * i.e. yes, very active Does the cat have any favorite toys? * i.e. mouse, feather on a string How does the cat respond to catnip? Line List a fun fact about your cat * Please list anything you would want a potential adopter to know about. * This could include unique habits or behaviors, what makes the cat special, etc. Is the cat declawed? * Yes, no, unsure Does the cat use a scratching post? * If so, please specify what type and where it's located in the home. Our suggested surrender fee is $200 per dog/puppy, $100 per cat/kitten, and $50 per small animal. On average, the expense per pet that APCSM incurs is about $60 per day. If these fees are beyond your means, we kindly request that you contribute whatever sum you can comfortably manage. Regardless of your financial capacity, we are committed to helping your pet and we will still provide care for your animal. The APCSM receives no state or federal funding and relies solely on community support and donations. Please indicate what you can give: * $200 $100 $50 Other This is the end of the form. Please click the submit button. Thank you for submitting this form. One of our staff members will contact you as soon as possible.
