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Cat Surrender Form
We are sorry you and your cat need to part ways. 
Please fill out the form below and someone will contact you as soon as possible. - Must be 18 years or older - 
Our Contact info: Phone:612 - 708-7242   email: info@smartrescue.org   web: www.smartrescue.org
Contact Information
* Required to Complete
Last Name *
First Name *
Street Address *
City *
State *
Zip Code *
Email Address *
Home Phone (with Area Code)
Mobile Phone (With Area Code)
Surrender Agreement
Please complete each item below All fields are required to submit form.
Name of the animal(s) you need to surrender
Description of the cat, ie.e  Breed, Color, Markings
            
Age
            
Sex
Yes
No
Is the cat spayed or neutered?
Yes
No
Declawed? 
If you answered yes to the cat being declawed please let us know why:
            
How long have you had this animal?
            
Where did you get this animal?
            
Yes
No
            
Yes
No
Why do you feel you have to surrender this animal?
            
Yes
No
            
Litter box Trained?
Yes
No
Has animal been neglected or abused?
Yes
No
Is the animal friendly with? (Please check all that apply)
Men

Yes
No
I hereby use this Electronic Signature to certify that I have answered truthfully to all of the questions in this form:   Please type your full name into the window provided below:  *
Today's Date
For use after printing at the Adoption Center:
Adopter's Signature : 
_______________________________________________
S.M.A.R.T. Signature :
_______________________________________________
Please print a copy of this form before submitting