Return of Your Fearless Kitty

ADOPTED FEARLESS KITTY?

Once a Fearless Kitty, always a Fearless Kitty…

Please complete the intake request – we appreciate some history of the cat – and we will contact you to arrange for the return of the kitty.

Todays Date*

Month

Day

Year

Owner Name*

First

Last

Address*

City

State

Zip Code

Email*

Cell Phone #*

Secondary Phone #

Describe the cat(s) you are looking to return, including age and why you are returning the cat(s):*
How long have you had the cat(s):*
Have you been able to touch or pickup the cat?*
If you are unable to pickup the cat please explain why:
Has this cat been allowed outdoors?*
Has this cat(s) seen a vet within the last year? *
Name of the Veterinarian (if applicable):
Do you have the vet records for this cat (if applicable)?
Has this cat(s) bitten anyone within the past ten(10) days?*
If yes, please describe incident:
Is the cat(s) eating and drinking okay?*
The cat(s) is currently eating:
Have you noticed any coughing or excessive sneezing?*
If yes, please describe what is happening and when it started:

The cat is comfortable around the following?* (check all that apply) Other Cat(s)DogChildren

Is there anything additional you would like to advise:
By electronically signing below, I acknowledge and agree that I am voluntarily irrevocably relinquishing ownership and custody of this cat to Fearless Kitty Rescue. I agree to immediately transfer all custody and ownership rights to Fearless Kitty Rescue.*

Entering your name in the above box constitutes your electronic signature