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Pioneer Humane Society (PAWS)
CAT
Surrender/Intake Request
Pioneer Humane Society is a no-kill animal welfare shelter, which means we can not take in animals unless there is room at the shelter, in a foster home, or available space with a shelter partner. Using this form helps us maintain an accurate and up to date list of animals and their owners that are in need of help. The more information you can give us helps our response to you! FILL OUT A REQUEST FOR EACH ANIMAL unless it is a litter of kittens.
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Today's Date
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MM
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DD
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YYYY
Your Name (first & last)
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Your answer
Your Phone Number (you can enter multiple numbers, if needed)
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Your answer
Your COMPLETE Address with the City
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Your answer
Your email Address
Your answer
Cat or Kittens?
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Cat
Litter of Kittens (include number in litter in the description)
Other:
What is the reason this animal needs to be surrendered and indicate the urgency of the request. (Please don't indicate ASAP, we need a realistic time period to work with and we assume all requests are ASAP!) If this is URGENT please complete this form and also call the PAWS office - press zero for the manager to discuss. Tuesday thru Saturday, noon to 4 p.m.
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Your answer
Is this a stray animal? Refer to FAQ on our website
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Yes - Is currently free roaming and I can't take into my home
Yes - I found it and am currently holding in my home
No - I own this cat
Other:
Description - pet name, breed and color, gender, approximate weight, age, number in litter (for kittens), how long have you had this animal, etc.
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Your answer
Check ALL boxes that apply to this animal
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VERY Friendly and Social with People
Fairly Friendly and Social with People
NOT Friendly and Social with People
Gets along well with DOGS
Gets along well with CATS
Gets along well with kids UNDER 7 years old
Stays outdoor ONLY
Is Indoor AND Outdoor
Stays INDOOR ONLY
Quiet, sedate, couch potato or lap cat
Playful, rambunctious, or active
Uses litter box appropriately
Does NOT use litter box
UNKNOWN
Other:
Required
MEDICAL - Check ALL boxes that apply
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Currently spayed or neutered
Not spayed or neutered
I have, or can get, veterinary medical records
I don't know ANY medical information for this cat
Vaccinations are up to date
In GOOD general health
NOT in good health - include known problems in "Other"
Other:
Required
Before you submit - MAKE SURE YOUR CONTACT INFORMATION IS CORRECT! Add any other information you think we should have to this section.
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