CONTACT INFORMATION
Name ________________________________________________________________________
Primary Contact Number (_____)_______________
Secondary Contact Number (_____)________________
E-mail _______________________________________________________________________
CAT COLONY/COLONIES
Location _____________________________________________________________________
Number of Cats _____________
General Condition of the Colony (number of fixed individuals, kittens (less than 6 months), etc.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
AGREEMENT
I, _________________________, agree to follow the guidelines for managing cat colonies on the University of Hawai‘i at Mānoa (UHM) as stated in the University of Hawai‘i at
Mānoa Service Bulletin 20081215 – Homeless and Feral Cats Program. I also agree to cooperate with UHM Office of Facilities and Grounds personnel in management of cat colonies on the university campus. Failure to abide by these guidelines will result in loss of cat caregiver privileges and possible referral for legal action pursuant to State, City and County, and
University laws and regulations.
Signature _____________________________________________ Date ________________