Kitten Surrender Questionnaire

This form is for kittens under 6 months of age. If the kitten(s) you are looking to surrender is older than 6 months, please go back and fill out the ‘Cat Surrender Questionnaire’ form.

PLEASE READ BEFORE SUBMITTING THIS FORM:

Lake Humane Society is a managed intake facility, which means we do not euthanize healthy animals for time or space. All of our animals that come in, stay until they are adopted out to loving homes! Because of this, we almost always work off of a waitlist for new intakes and schedule surrender appointments based off of the amount of adoptions we go through in a day, on top of helping any animals our humane agent may bring in.

While we try to help any animal that needs to be surrendered, there are circumstances that the animal may not be a good fit at our facility. If we cannot accept it, we will try to provide any other resources we may have to help assist you.

PLEASE READ IF YOU ARE SURRENDERING STRAY KITTENS:

A kittens survival rate will be much better if they stay with their mom if they are under 6 weeks old (there will be an age chart in a question below to help you determine the kittens age!). Sometimes a mother cat will leave her kittens for hours on end to get food, look for a safer spot for her family, etc. Look at the kittens bellies, are they full? If so, it means mom is around and is feeding them, so please do not touch them and let them be!

Make sure if you are monitoring the kittens to see if mom returns to her babies, that you are doing it at a far distance so you don’t scare mom off! Frequently walking up to her kittens and checking on them can make the mom feel threatened and not want to come back.

PLEASE NOTE: Intakes are by appointment only.

Kitten Surrender Questionnaire

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

PLEASE NOTE:

I understand that I must fill every box of this questionnaire in order to be put through review. I will write "N/A" for spots I wish to remain blank.

Name*

First Last

Email*

(please make sure this is accurate as this is how the intake coordinator will reach out to you once this form is submitted).

Primary Phone Number*

Driver's License*

Address*

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

County*

How many kittens were you needing to surrender?*

When and where did you find the kitten(s)? Please be specific on date and location.*

Do you also need to surrender the kitten's mom?*

Yes

No

Unsure

N/A

If you are looking to surrender the mom, is the mom friendly? Can you easily go up to her, pet her and approach her?*

Yes

No

Other

Based on the chart above, approximately how old does the kitten or litter appear?*

Newborn

1 week

2 week

3 week

4 week

5 week

6 week

7 week

8 week

Older that 8 weeks (specify in the next question)

Can you specify the age of the kitten or litter, even if you are just guessing? (If you believe the kitten(s) is older than 6 months, please exit out of this form and fill out the Stray Cat Surrender Questionnaire).*

If the kitten(s) is under 8 weeks, have you seen their mom around?*

Yes

No

Other

When was the last time you saw the mom with the kitten(s)?*

Does the kitten(s) appear healthy? If not, please describe in detail the illness(s) and/or injuries you have observed.*

If you are able, please upload a photo of the kitten(s) here:

Max. file size: 2 GB.

Have you been socializing and handling the kittens?*

Yes

No

Other

Can you easily pet the kitten(s)?*

Yes

No

Other

Are you able to pick up and hold the kitten(s)?*

Yes

No

Other

Can you hold, pet, and approach the kitten(s) without it growling, hissing, swatting or attempting to bite you?*

Yes

No

Other

If you put no in the question above, please explain.*

Do the kittens seek out physical contact with people? (ex. climb onto laps, nuzzles hands, rub against you, etc.)*

Yes

No

Other

Is the kitten(s) currently housed indoors or outdoors?*

I have the kitten(s) contained inside my house

The kitten(s) is still outside

Please provide any other important information not included in the application above.*

Yes, I can do that

No, unable to

Please provide any other important information not included in the application above.*

I understand that by submitting this form it is not guaranteed that Lake Humane Society will be able to take this stray kitten.*

I understand

I agree to check my email (including my junk/spam folder) regarding important communication from Lake Humane Society in regards to this surrender form*

I agree.

I understand that I MUST have an intake appointment and that the shelter does not accept walk-in surrenders.**

I understand.

I understand that Lake Humane Society requires an intake fee of $75 per owned litter and $50 per stray litter of kittens to help offset the cost of caring for the kittens during it's time with us. Under certain circumstances, we can reduce or waive this fee, but it must be discussed with the Intake Coordinator prior to your intake appointment.*

I understand.

I understand that Lake Humane Society is NOT an open admission shelter and that Lake Humane Society is a limited admission, unlimited stay humane society. I understand my application can be denied for any reason.*

I understand.

By checking the box below, I understand that Lake Humane Society has the right to deny my surrender form for any reason. I also understand that if my surrender form is accepted, there may be a lengthy wait because Lake Humane Society does NOT euthanize animals for time or space reasons and can only schedule cats as cage space allows.*

I understand.

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