Intake Consultation Form
NOTE-We are NOT an open admission shelter and are adoption guaranteed and are not always able to accept all animals into our shelter. Submitting this form does not guarantee that Animal Friends Alliance will be able to take your pet.
Please make sure you fill out the intake form completely. An intake counselor will contact you via email to discuss options and resources. Please respond to our intake counselor within 7 days to keep your application active. If we do not hear back from you within this time frame you will be removed from the list and need to fill out a new request to be re-considered.
*Please complete one form for each cat or litter of kittens.*
If you originally adopted your cat from Fort Collins Cat Rescue(Animal Friends Alliance), you do not need to fill out this form. You may call the shelter's front desk at 970-484-8516 instead.
* Required
Your Information
First and Last name
*
Your answer
Street Address
Your answer
City
Your answer
State
*
Colorado
Wyoming
Other:
Zip Code
*
Your answer
County
*
Your answer
Email
Email is our preferred method of contact, but if you do not check your email regularly or do not use email, please leave this field blank so our staff knows to call instead.
Your answer
Phone Number
*
Your answer
Alternate Phone Number
(If different from your main phone number).
Your answer
Your Cat's Information
Name of Cat
Your answer
Is this cat:
*
My cat
A cat I found / A stray cat
Other:
Why do you need to find a new home for this cat?
*
Your answer
If this is your cat, where did you originally get him/her?
Your answer
If this cat is a stray, please describe the conditions in which the cat is living.
Please include availability of food and shelter.
Your answer
How long have you had this cat?
Your answer
If this cat is a stray, have you contacted Animal Control to file a stray report?
If you would like to know more information about filing a stray report, please check the last box.
Yes
No
What is a stray report?
If this cat has a microchip, please enter the chip number:
Otherwise, please specify whether or not the cat has been scanned for a microchip.
Your answer
For a litter of kittens, please list the number of kittens in the litter:
Do not count the mother cat. If there is a mother cat you would like to surrender with the kittens, please complete a separate form for her.
Your answer
How old is the cat? Cat's over the age of 7 require current medical records.
*
Your answer
How do you know the cat's age?
*
I've had the cat since it was a kitten
I estimated the cat's age
My veterinarian estimated the cat's age
Other:
Is the cat
*
Male
Female
Unknown
Has this cat been spayed or neutered?
*
Yes
No
Unknown
Has this cat been declawed?
*
Yes-- all four paws
Yes-- front paws only
No
Unknown
Please describe the cat:
(coloring, long or short hair, other distinguishing marks)
Your answer
What donation are you willing and able to make to help us care for this cat?
Fort Collins Cat Rescue & Spay/Neuter Clinic takes in cats and kittens from the public on a limited basis. Because we are a limited admission shelter we can only take in new cats and kittens as we adopt others out. Each new intake will be tested, vaccinated, spayed or neutered, microchipped, and treated for worms and fleas to ensure that they will be as healthy as possible before going to their new home. This costs us an average of $275 for each cat, and a donation from you will help us prepare the cat for adoption. (Intake decisions are never solely based on an owner’s ability or inability to make a donation at the time of relinquishment).
Your answer
Your Cat's Behavior
Where does this cat live or spend most of his/her time?
*
Indoors
Outdoors
Both
The cat is / kittens are:
*
Friendly (solicits attention and able to touch)
Shy (able to touch, but does not solicit attention)
Feral (not able to touch, not tame)
Unsure
Has this cat been around children?
If yes, what were the ages of the children and this cat's response to them?
Your answer
Has this cat been around other cats?
If yes, what was this cat's response to them?
Your answer
Has this cat been around dogs?
If yes, what was this cat's response to them?
Your answer
Does this cat use the litter box?
*
Always
Most of the time
Sometimes
Uses outdoors most of the time
Other:
Your Cat's Medical History
Is this cat sick or injured right now?
If yes, please describe the illness or injury.
Your answer
If the cat is sick or injured right now, have you taken the cat to a veterinarian for this illness or injury?
If yes, please enter the name of the veterinarian/clinic and the results of the vet visit.
Your answer
Does this cat have a regular veterinarian?
If so, please enter the name of the veterinarian/clinic.
Your answer
How often does this cat see your veterinarian?
Your answer
Has this cat received any of the following vaccinations?
Please check the boxes for any vaccines this cat has received AND is up-to-date on.
FVRCP (Feline Distemper)
Rabies
Other:
Has this cat been treated for any other medical conditions?
If yes, please list and explain
Your answer
Is there anything else you would like us to know about this cat?
Your answer
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