Owner Surrender Questionnaire
Complete this form for surrender of a CAT to Cherokee County Animal Shelter
First Name *
Last Name *
Phone Number *
Cat's Name *
Sex of Cat *
Spayed or Neutered *
Age
Kitten
Adult
Clear selection
Why are you surrendering your pet? *
Where did you get your pet?
Is your pet current on vaccines? *
What is the name of the last vet your pet visited? ***Please bring any medical records you may have.
Does this pet have any medical conditions or previous injuries? *
If yes to the last question, please explain
Has this pet ever bitten a person or other animal? *
If yes to the last question, please explain
Where did your cat spend most of its time? *
Where does your cat sleep?
Does your cat have litter box issues? *
Number of Cats in your home? *
cat
cats
What size/type of litter box do you use? *
Type of Litter? Check all that apply *
Required
What type of food does this pet eat?
Clear selection
Has your cat ever been around other cats? *
Has your cat ever lived in a home with children? *
Does this pet have any behavior issues or destructive tendencies? *
If yes to the last question, please explain
Have you tried to rehome your pet? *
How long have you been trying
Day
Days
Clear selection
Any other ADDITIONAL NOTES that you would like to share with the staff about your pet:
Do you understand that when you surrender this animal to us that it is highly possible that we will have to euthanize this animal (put it to sleep)? *
Your submission will be sent to the intake department of Cherokee County Animal Shelter. You will receive a link to make an appointment after you submit your form.
131 Chattin Drive Canton Georgia 678-493-4387
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy