Owner Surrender Questionnaire
Complete this form for surrender of a cat to Pickens County Animal Shelter
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Your Name *
Phone Number *
Email *
Cat's Name *
Sex of Cat *
Spayed or Neutered *
Age *
Why are you surrendering your pet? *
Where did you get your pet? *
Is your pet current on vaccines? *
Name of vet?  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 does your cat spend most of its time? *
Where does your cat sleep? *
Does your cat use a litter box? *
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? *
Has your cat ever been around other cats? *
Has your cat ever been around dogs? *
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?
Any other ADDITIONAL NOTES that you would like to share with the staff about your pet:
Do you understand that when you surrender your pet to Pickens County Animal Shelter you will no longer have any rights to this pet and no further information regarding this pet will be given? *
Do you understand that every effort will be made to place the animal(s).  However, due to poor health, injuries beyond repair, and bad or unpredictable temperament, euthanasia is always a possibility. *
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