Name
*
First Name
Last Name
Phone Number
*
(###)
###
####
Email
*
What day did you first encounter the cat(s) you are wanting to surrender?
*
MM
DD
YYYY
What address did you first encounter the cat(s) you are wanting to surrender?
*
Is there a specific timeframe or deadline for this surrender?
*
Ex. moving, eviction, behavior
Are you 100% sure the cat(s) is unowned and not someone's outside cat(s)?
*
Are you on any other shelter or SPCA's waitlists at the moment? If so, please list them.
*
Number of cats you want to surrender:
*
If you have more than one animal being surrendered, would you classify them as bonded?
Bonded: the animals must never be separated and be adopted together. If separated, they would become distressed and depressed.
Is this cat(s) currently in your care or on your property?
*
It is important for us to know if the cat(s) is easily accessible for faster surrender appointments.
Please write a detailed description of the cat you are wanting to surrender.
*
If you have multiple cats you want to surrender, please add descriptions of each.
What is the gender of the cat you are wanting to surrender?
*
If you have multiple cats you want to surrender, please add genders of each.
What is the approximate age of the cat you are wanting to surrender?
*
If you have multiple cats you want to surrender, please check off the ages of each.
Does the cat(s) have any signs of sickness?
*
Ex. sneezing, coughing, nose/eye discharge, wheezing, laboured breathing, vomiting, diarrhea
Does the cat(s) have any physical injuries, parasites, or deformities? If yes, please add detailed descriptions.
*
Ex. broken limbs, bite wounds, facial scarring/wounds, ticks, fleas
I agree to the following:
*
I understand that any information given will be held confidential.
By checking below, I certify that the information I have provided is true and that any misrepresentation of facts may result in losing the option to surrender. I understand that the Carleton County Animal Shelter has the right to deny my request to surrender an animal, and I authorize the investigation of all statements in this application.
Date of agreement
*
MM
DD
YYYY
Select from the following what we can help with during the wait.
Is there any other information not asked for that you feel is important for the CCAS staff to know during the triage process?
Once submitted, the form will be sent directly to the office for review and added to the waitlist. Please note that our waitlist is not first come, first serve - it is triaged by available space, priority, and best fit at that moment.
We will contact you once we have the space and circumstances met where we can intake the animal. This process can take a couple of weeks depending on our current isolation room setup.
If you need resources, like food, while you are on our waitlist, please do not hesitate to reach out. Even though the cat is not in our building yet, we will do our best to help during this time.
We can be reached during our business hours of 10 am - 4 pm daily at 506-277-1104 if any additional help or questions are needed.
