First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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County

Country

Email*

Home Phone*

Work Phone*
x

Cell Phone*

Please give us a brief explanation why the need to surrender the animal(s).*

Please list name of cat, age, male or female, color and description (or breed), and weight (if possible). If there are more than one, please list them too. (No more than 2 or 3 - if you have more please fill out another form. You'll have to answer each question noting which cat the answers belong to).*

Please explain where the cat came from, and how long you have had this cat.*

Do you know if this cat is microchipped? If yes, do you have the chip number and manufacturer available? Is the cat registered in your name or someone else? (If this is a stray cat, we recommend having the kitty scanned for a chip before placing into adoption, if not already done).*

Does this cat have any medical records available? Is the cat current with a rabies vaccine? Spayed or Neutered? Declawed? Please answer each with yes, no, or don't know.*

Is there any known medical history? Is there any apparent injuries or illnesses now?*

Please describe personality; examples - friendly, loving, playful, shy, quiet, fearful, aggressive, indoor only, outdoor only, both in and out. Please use as much as you can to describe the cat. *

Please indicate any history the cat has had with other pets or children.*

Please share in your own words about your cat that makes him/her unique, stand out from the rest, and interesting quirks, or anything you absolutely love about your kitty. If you need more room, you can email additional info to aristocatgirl@hotmail.com or text 321-441-6481, along with your photo's

Please give us an idea of the urgency - the time frame, if any, that you have before the cat(s) has to be out of your care.*

I understand that Aristocats may not be able to take the said animal(s) into their foster care at this time, but I will work with Aristocats in finding a suitable home for them. I, nor Aristocats, are bound by any agreement if I should have to seek placement elsewhere. I agree to follow Aristocats' policies while working with them during the process. (Please sign and date).*

I certify that the information I have provided above is true and correct to the best of my knowledge. I affirm that I have the authority to sign and surrender said animal(s) and I understand that by signing this surrender form I agree to hold Aristocats harmless and relinquishes me of any and all ownership, rights or recourse regarding surrendered animal(s), if the said animal(s) gets adopted through Aristocats or if Aristocats agrees to take them into their care. I understand that the main concern of Aristocats is the health and well being of the surrendered animal. (Please type name and date). *