First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

Please describe cats/kittens needing rescue (number, ages, colors, personalities etc) Please email pictures to info@catrangers.org *

Please advise current location/address of cats and kittens?*

Is/Are the Cat(s) currently kept inside, outside or both? *

Are you able to pick the cat(s) up?

Is there an urgent medical situation with cat?

Does/Do the Cat(s) have any behavior issues with other cats, dogs, children, etc?

Is/Are the cat(s) spayed/neutered?

Have the cat(s) been tested for FIV/FelV ? If so, what were the results?

Please indicate date of last vaccinations and what types of vaccinations if available.

Can you tell if there are any health issues with the cats/kittens?

Does/Do the Cat(s) have appropriate litter box habits?

Are the kitties currently in a safe place with food and water available? *

Are you able to provide a 14 day quarantine space after they are combo tested and vaccinated if needed? (We quarantine all intakes for 14 days to protect them and to protect our current shelter kitties.)

Are you able to help with the costs of vetting and medical care by making a donation to CatRangers?

Can you take pictures of cats and email to rescue@catrangers.org

Is there anything else you can tell us about your kitty(s)?

If this application is approved and a cat or cats are surrendered to CatRangers, I hereby agree to surrender all rights to this/these cat(s) to CatRangers and hereby hold harmless CatRangers for any future issues related to these animals, and that I have the authority to complete this surrender.

I/We have read and agree to abide by all the conditions of this Application to Surrender my cat(s), as indicated by My/Our signatures on this page. By entering my name here I am agreeing to terms of this contract and this represents my electronic 'signature'.*