First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

if you adopted your cat from another rescue have you checked with that rescue to see if they will take the cat back?*

Please list the name(s) and age(s) of the cat(s) you would like to surrender*

How long have you owned the cat?*

Please state the reason you are surrendering your cat:*

Please list below the veterinarian(s) who would have seen you cat. We may ask you to call and release records to FURR. *

Please indicate the last time your cat had a wellness exam*

Is your cat spayed or neutered? Do you have paperwork to confirm this information?*

Has your cat been tested for FIV/FELV?*

Is your cat current on rabies shots?*

Is your cat declawed?*

Please describe the best living situation for your cat (example, with cats/without cats, with children/without children). This will help us place your cat into a foster home and eventually a permanent home.*

Please tell us about your cat's personality*

Please list any behavior concerns*

FURR is 100% volunteer run and we depend on grants and donations to operate. Are you able to provide FURR with a donation upon surrender?*

Please feel free to add any additional information regarding the cat/kitten or your circumstances that you feel is relevant.

By typing your name here you are agreeing to surrender the aforementioned animals over to Feline Urban Rescue and Rehab