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Adopt
Services
Ways to Give
Events
Who We Are
Contact
- Hours
- News
- Report Abuse
- Careers

Surrender a Pet - Feline

Be a part of the HAWS community for pets and their people. Join our pack!

Feline Surrender Profile

We understand that surrendering an animal to a shelter can be very difficult, and you are likely concerned for your pet’s future. By completing this form, you will help us care for your animal during its visit, and place it appropriately, if placement is possible. Thank you for helping us do the best possible job to make your pet’s stay a pleasant and short one.

Please enter the Date & Time of your already scheduled surrender appointment. *

Date

Time

**You MUST have an appointment already scheduled. If you do not have an appointment, please call 262-542-8851 ext: 0

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cat's Name *

Breed *

Age *

Is your cat: *

Male
Female

Is your cat Spayed (Female) or Neutered (Male) *

Yes
No

Where did you acquire your cat? *

HAWS
Other Shelter/Rescue
Breeder
Pet Store
Other

If Other:

Feeding

Type(s) of food (Check all that apply)

Dry
Canned
Raw/Homemade
Don't Know

Brand(s) of Food

Brand(s) of Treats

How many times a day is your cat fed?

1
2
3
4
Free Fed
Don't Know

How would you describe your cat's eating habits?

Picky eater
Loves his/her food
Will over-eat if given the opportunity

Does your cat have any dietary restrictions?

When is your cat fed? (Check all that apply)

6am- 10am
10am-2pm
2pm- 4pm
4pm- 8pm
8pm or later
Free Fed (Food left out all the time)
Don't know

Exercise

Does your cat like to Play?

Yes
No

What are your cat's favorite toys/games?

How would you rate your cat's energy level?

Extremely low
Mild
Moderate
High
Extremely High

During play, does your cat ever, bite, scratch, or exhibit other behaviors that you would consider rough?

Yes
No

Please Explain

Was your cat allowed to go outside?

Yes
No

If yes, please indicate how your cat was supervised:

Litter Box History

Litter box set up:

Covered
Uncovered
I have both uncovered and covered boxes at home

Is your cat particular about the type of litter you use?

Yes
No

Please Specify what type of litter & if it is scented or unscented:

Does your cat have a history of eliminating outside its box? *

Yes
No

How often was the litter box scooped *

Once every day
Multiple times a day
Every few days
Weekly
Self cleaning litter box

Where was the litter box kept? If you had multiple boxes, please list all locations: *

How many cats and how many boxes did you have in the house to share? *

Household History

How did your cat usually interact with the following in your household?

Cats

Dogs

Children

House Guests

Other Small Animals

Would any of the following describe your cat's usual nuisance behaviors? (Please check all that apply)

Jumps on counters
Climbs curtains
Chews personal items
Scratches furniture
Gets into garbage
Scratching doors/cabinets
Chews plants
Vocalizes often
Darting out doors

What characteristics/personality traits does your cat display? (Please check all that apply)

Friendly to family
Playful
Shy to family
Fearful
Talkative
Friendly to visitors
Active
Shy with visitors
Fearless
Aloof
More like a dog
Affectionate
Quiet
Lap cat
Couch Potato

Enrichment

Does your cat have any cat furniture or cat condos at home to play/sleep on?

Yes
No

Behavior

Has your cat ever bitten a person? *

Yes
No

Did the bite break the person's skin? *

Yes
No

Explain how the bite happened

Has your cat ever bitten another animal? *

Yes
No

Did the bite break the other animal's skin? *

Yes
No

Explain how the bite happened

Is the cat afraid of anything?

Loud or sudden noises
Doorbell
Thunderstorms
Children
Vacuum Cleaners
Fireworks
Strangers
Dogs
Other Cats
Other

If Other:

Health

Has the cat had any health problems in the past?

Yes
No
Unknown

Please name the health problem:

Is the cat currently taking mediation?

Yes
No
Unknown

Please name the medications:

How does your cat behave during visits to the vet?

Are there any wonderful, special traits or habits that you would like your cat's new family to know about?

Electronic Signature (Type Name) *

Help us continue our mission of ensuring the entire community treats animals and one another, with respect.

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HAWS is a 501(c)(3) non-profit organization.
701 Northview Road, Waukesha, WI 53188 | 262-542-8851
License #267280-DS | EIN #39-6108644