Feline Surrender | Welcome to Wayside Waifs

Feline Surrender Application

Pet Owner Information

Pet Owner Name*

First Last

Email*

Address*

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

Phone (please include area code)*

Are you the owner of the cat? If not, what's your relationship with the owner?*

Have you adopted from, donated to, or surrendered another animal to Wayside Waifs in the past?*

Pet's Description/Information

Pet's name:*

Pet's age:*

Breed:*

Gender:*

Is this pet spayed or neutered?*

Describe this pet's color/markings:*

Is this cat declawed?*

Where did you get this cat?*

If you chose "Adopted from another shelter/rescue" please list where this cat was adopted from.

Have you tried reaching out to that shelter?

How long have you owned this cat?*

What is the main reason why you are surrendering?*

Are you interested in troubleshooting options to keep your pet in the home?*

How long can you continue to safely care for the pet?*

Pet's Litterbox Habits

What type/brand of litter is used/preferred by your cat?*

Does this cat ALWAYS use the litterbox? If yes, skip to Medical Questions.*

If no, does your cat require special litter, placement, cleanliness, or other circumstances to use the litterbox consistently?

Please describe the accidents (ex. urination or defecation or both, where did the accidents occur, etc.):

Have you had this cat evaluated by a medical professional for these issues? If yes, please describe tests, treatments, and if treatment, and if treatment was successful.

Does this cat prefer to go to the bathroom outside and will house-soil if not permitted outside?

Yes
No
N/A

Medical Questions

Name of veterinary clinic you use:*

Does your pet have any ongoing or current medical concerns?*

If yes, please describe:

Has this cat been diagnosed for anything by a veterinarian?*

If yes, please describe:

Is your pet taking any medications and/or on a special diet?*

Yes
No
Unknown

If yes, please list medications or prescribed special diet:

If your cat has been seen at a vet, what do they do for medical handling such as blood draws, receiving vaccines, and just generally being handled?*

Has your vet ever spoken to you about your cat needing to take medication prior to visiting?*

Yes
No
N/A

Pet's Behavior Information

How would you describe your pet's personality? (gentle, friendly, nervous, etc.)*

Throughout your cat's day they are:*

Your cat has lived with:*

Has this cat ever bitten a person? If no, skip next 5 questions.*

Did the bite draw blood?

If yes, has this cat bitten a person in the last 10 days?

Please describe the incident(s) using as much detail as possible:

Date of most recent incident:

Was the bite a result of playful behavior?

Yes
No
Unknown

Has the cat ever bitten another animal? If no, skip next 5 questions.*

Date of most recent incident:

Species of the other animal (dog/cat/etc.):

Did the bite draw blood?

Was the bite a result of playful behavior?

Yes
No
Unknown

Please describe what happened before, during, and after the bite:

What is your cat's favorite style of play? (Select all that apply):*

Very gentle
Likes toys
Plays with other animals
Very energetic/rambunctious
Can get nippy when playing
Doesn't play much
None of the above

How does your cat react to new/unfamiliar people?*

Does the cat have trouble being in confined places like carriers/kennels? If yes, please describe:*

Personality, Misc. Information

This information is optional to submit this application, but if your pet is accepted we will ask for these questions to be completed.

What are some awesome things about your pet?

What are some of your cat's nicknames?

Does your pet prefer certain kinds of food or treats?

Describe your cat's eating habits. (ex: free fed dry food, social eater, cannot free feed, etc.)

Does your cat prefer to perch on high places or low places?

In an ideal world, what level of exercise/playtime would your cat enjoy getting every day?

Does your pet have any bad habits?

What are some things your cat LIKES?

What are som things your cat DISLIKES?

If your cat plays with toys, what are their favorites?

Is there anything else you want us to know about your pet?

Household Safety/Wellness Information

Has anyone ever threatened to harm/harmed your pet(s)?*

Has anyone ever threatened to harm/harmed you?*

Do you feel safe in your home?*

Please upload (1) image of your pet. Image should be in focus and show the animals face and body.

Max. file size: 50 MB.

Upload image

Email

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