Intake Form

Best Way to Contact You *

Is The Cat *

Indoor Only Outdoor Only Indoor/Ourdoor

Spayed or Neutered *

Yes No Unknown

Vaccinated against rabies *

Yes No Unknown

Vaccinated against FCRVP? *

Yes No Unknown

Negative for FeLV/FIV? *

Yes No Unknown

Vaccinated against FeLV? *

Yes No Unknown

Litterbox Trained? *

Yes No Unknown

Declawed? *

Yes No Unknown

Good with other cats? *

Yes No Unknown

Good with dogs? *

Yes No Unknown

Good with children? *

Yes No Unknown

Aggressive towards animals or people? *

Yes No Unknown

Are you the legal owner of this cat? If not, explain:? *

Max file size: 20MB

How did you acquire the cat? *

How long have you owned the cat? *

Why do you need to surrender this cat? *

Any acute or chronic medical conditions currently? If so, please describe *

Any history of illness (i.e. bladder infections, stones, upper-respiratory infections, hairballs, etc.)? *

On any medications? If so please list *

If you would like this cat to be posted to our Community Listings page, please provide a bio including a personality description and ideal home situation that we may use in order to help rehome the animal. *

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Intake Application

Basic Information

A photo makes all the difference. Please provide a photo that we may use in order to help rehome the animal. If your file will not attach, please submit this form without it and email your photo to catranch.res.q@gmail.com