"Saving the life of one animal may not change the world, but the world will surely change for that one animal"
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Cell Phone
Name
What is the name of the animal?*
Was this animal previously adopted from Wags? *
Dog/Cat Name
Please provide the reason you are needing to surrender this animal.*
What is the breed and color of the cat? (Example: DSH brown tabby)*
What is the age of the cat? *
Is the animal microchipped?
If yes, what is the microchip vendor and number?
Does your animal need to be the only pet in the household? * Choose one: Yes No
Describe how this cat interacts with other cats.*
Describe how this cat interacts with dogs.*
Describe how the cat interacts with children.*
Has the animal you wish to surrender ever bitten an animal or person? If yes, please describe:*
Is the cat declawed? *
Is the animal you wish to surrender spayed/neutered?*
Do you have vet records showing a current rabies and distemper vaccine?
Is the cat positive for Feline Leukemia (FELV) or Feline Immunodeficiency Virus (FIV)? If no, do you have vet records showing a current negative test in the last year? *
Does the cat have health concerns or require special care? If yes, explain.*
Does this cat have litterbox problems or concerns? If yes, explain.*
I consent to have my animal submitted to temperament testing by Wags & Whiskers Animal Rescue of Minnesota. I understand that acceptance of my animal is dependent on temperament testing. *
A $50 owner surrender fee is required. Do you agree to pay this fee if your animal is accepted into Wags & Whiskers Animal Rescue? Wags & Whiskers reserves the right to reject any and all surrenders for failure to pay required fee.
I certify I am the legal owner of the animal stated above.
I certify that the information provided in this form is true and correct the best of my knowledge.
I understand the submission of this application does not guarantee Wags & Whiskers Animal Rescue will accept my animal. I understand that there is a waiting list to surrender animals that ranges from 1-4 weeks.