EmailMe Form - TCR Kitten Intake Request Form

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Nearest major intersection *

Phone *

### - ### - ####

Email *

Number of kittens *

Age, date of birth or weight of kittens *

Is mom with the kittens? *

Yes

No

Unknown

Is the mother friendly? *

Yes

No

Unknown

No mother

Are the kittens friendly? (can you pick them up?) *

Yes

Yes, but scared

No, scratching, biting

Unknown

Where were the kittens born? *

In my home

Outside

Other

Unknown

Where are the kittens currently? *

In my home

Outdoors

Other

Are the kittens being fed regularly? *

Yes - dry or wet food

Yes - still nursing from mom only

No

Unknown

Are you requesting spay surgery for the mother? *

Yes

No

What is your plan for the mother cat once the kittens have been adopted? *

Other information/comments

Please provide a picture(s) of the kittens

Once the surrender has been completed, you will be ineligible to adopt any of the kittens. Please check YES to indicate you understand and intend to follow this policy. *

YES