STAFF USE ONLY
❑ Owner surrender
❑ Rescue group
❑ Stray
❑ Animal control
Cat Acceptance and Release Form
Please provide as much information as possible in response to the following questions. Your answers will
help us to provide for the cat and place him or her in the most appropriate home. Your answers to these
questions will not determine whether or not we will accept the cat.
Name of cat___________________________________ Age________________ Sex _______________
Breed/mix____________________________________________ Approximate weight ______________
Description __________________________________________________________________________
How did you obtain the cat? (e.g., friend, pet store, shelter, stray) _______________________________
If the cat was a stray, where was he/she picked up? __________________________________________
Did you contact animal control?
❑ Yes
❑ No
How long have you had the cat? _________________________________________________________
What is the reason you are giving up the cat? _______________________________________________
____________________________________________________________________________________
Describe the condition and health of the cat. ________________________________________________
____________________________________________________________________________________
Has the cat been spayed or neutered?
❑ Yes
❑ No
❑ Don’t know
Who is your vet?____________________________________ Phone ____________________________
Address _____________________________________________________________________________
Has the cat received vaccinations?
❑ Yes
❑ No
❑ Don’t know
If yes, please give the date of the last vaccinations: ___________________________________________
Vaccinations received at that time: ________________________________________________________
What kind of food do you feed the cat? ____________________________________________________
When do you feed the cat? _____________________________________________________________
What kind of toys does the cat like to play with? ____________________________________________
What kind of games do you play with the cat? ______________________________________________
Has the cat been outside?
❑ All the time ❑ Most of the time ❑ Sometimes
Angel’s Rest Animal Sanctuary
P.O. Box 152, New Richmond, OH 45157
Tel.: 513-543-6570
www.angelsrestanimalsanctuary.org
❑ Never
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Has the cat been in the house?
❑ All the time ❑ Most of the time ❑ Sometimes
❑ Never
Has the cat been in an indoor crate?
❑ All the time
❑ Never
❑ Most of the time ❑ Sometimes
Check the adjectives that best describe the cat:
❑ Easygoing
❑ Shy
❑ Aggressive
❑ Active
❑ Friendly
❑ Dominant
❑ Protective
❑ Hyperactive
Please add any additional information about the cat’s personality or habits. _______________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
•••••
Your name ___________________________________________________________________________
Organization (if any) ___________________________________________________________________
Address _____________________________________________________________________________
City__________________________________ State______________________ Zip ________________
Home phone______________________ Time you can be reached _______________________________
Work phone_______________________ Fax___________________ E-mail ______________________
I hereby release _____________________ (animal’s name) into the custody and control of Angel’s Rest
Animal Sanctuary. I declare that I obtained the above animal legally and that I waive all future rights in the
ownership or control of the above animal. I hereby agree to transfer all right, title, and interest or control of
the above animal as of the date below.
Signed______________________________________ Date ____________________________________
Attested to by_________________________________________________________________________
for Angel’s Rest Animal Sanctuary
Angel’s Rest Animal Sanctuary
P.O. Box 152, New Richmond, OH 45157
Tel.: 513-543-6570
www.angelsrestanimalsanctuary.org
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