Due to the high demand for intake and the limited availability of fosters, we may not be able to take your animal into our rescue at the time you apply. This application does not guarantee acceptance; however, we will do our best to assist you with resources to help.
This intake fee is due at the time of acceptance and surrender. This fee helps to offset just a small portion of the costs for vet bills, spay/neuter, microchip, tests and shots needed to prepare for adoption. It also helps cover basic care expenses that are incurred until adoption.
Intake Fees*:
Additional donations to help cover costs is always appreciated as we do not receive any government assistance or grants.
Food/Litter donations are also accepted.
*Intake fees and all donations are tax deductible.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone*
What is the cat's name?*
Cat's date of birth or estimated age.*
How much does the cat weigh (approximately)?*
What gender is the cat?* Choose one: Male Female Unsure
What is the cat's breed?*
What color(s) is the cat? Please describe.*
Has the cat been spayed/neutered?* Choose one: Yes No Unknown
Is the cat currently microchipped?* Choose one: Yes No Unknown
Has the cat been declawed?* Choose one: No Yes - Front Claws Yes - All Claws
If the cat has been declawed, when was this done?
Has the cat bitten anyone in the last 10 days?* Choose one: Yes No Unknown
What vaccinations is this cat current on? Check all that apply.
Has the cat seen a veterinarian annually?* Choose one: Yes No Unknown
Has this cat been tested for Feline Immunodeficiency Virus (FIV) and/or Feline Leukemia Virus (FeLV)?* Choose one: Feline Immunodeficiency Virus (FIV) Feline Leukemia Virus (FeLV) Both FIV and FeLV Unknown
If this cat was tested for FIV/FeLV, what were the results? Choose one: Positive Negative Unknown
Is this cat receiving any form of flea control?* Choose one: Yes No Unknown
If receiving flea control, please describe method and brand.
Has this cat ever had surgery? (Other than spay/neuter)* Choose one: Yes No Unknown
Does this cat have an illness or condition we should know about? If yes, please describe.*
Has this cat been diagnosed with and/or treated for any of the following? (Check all that apply)
Why are you surrendering this cat?*
If we could help you resolve this issue, would you be interested in keeping the cat?* Choose one: Yes No
Including yours, how many homes has this cat had?*
Where did you get this cat? Please describe.*
What brand of food(s) is the cat currently eating?*
What types of food does this cat eat? (Check all that apply)
How often is this cat fed?* Choose one: Food always available Designated meal times Unsure
What type of treats does this cat enjoy?*
Does this cat have access to a litter box inside the home?* Choose one: Yes No Unknown
What type of litter box is it? Covered, uncovered, automatic, etc.*
If located in the home, where was the litter box located and how many were available? Please describe.*
What type of litter was used? Please describe, including brand, as this can help a cat feel more settled in a new environment if they have that familiarity.*
How often was the litter box scooped?*
Has this cat shared a litter box with other cats before?* Choose one: Yes No Unknown
Does this cat make mistakes relating to the litter box? (Such as going outside of it, just missing, etc)* Choose one: Yes No Unknown
If yes, please describe.
How long have you owned or had possession of this cat?*
What does this cat seem to be more comfortable with?
What areas of your home did this cat have access to? (Check all that apply)
Where do you leave the cat when they are home alone?*
What is the longest period of time the cat spends alone?*
Where did this cat spend most of their time? (Check all that apply)
How many hours each day does a person interact with this cat?*
Does this cat travel well in the car?* Choose one: Yes No Unknown
Where does the cat stay when you are out of town?*
Are there other animals in your home? (Check all that apply)
Please describe how this cat is around other animals, both positive and negative. This helps us with placement.*
If this cat has lived with other cats, how did they interact? (Check all that apply)
If this cat has lived with dogs, how did they interact? (Check all that apply)
Has this cat been around children before?* Choose one: Yes No Unknown
If this cat has been around children, please describe the age ranges and the cat's reaction. This will help us with placement.
Specifically regarding how this cat is with children under the age of 7, how did this cat interact with the child/children? (Check all that apply)
How would you describe this cat most of the time? (Check all that apply)
How does this cat like to play? (Check all that apply)
Please tell us some things you truly love about this cat, their best qualities, etc.*
Are there any quirks or habits you are not fond of in this cat?*
Does this cat do any of the following? (Check all that apply)
If this cat was displaying any unwanted behaviors, what steps did you take to correct them? How successful were they? Please describe.*
Is there any part of the body that this cat doesn't like touched? If yes, where on the body and what is the response?*
How would you describe the ideal home for this cat?*
Is there anything else you would like to tell us about this cat? Or anything you think we should know?*
By selecting "Agree" below, you are agreeing to and acknowledge the following if Rescuing Animals In Need (R.A.I.N.) accepts this animal as a surrender: 1) you are transferring all rights and responsibilities of ownership to the rescue organization, 2) will at no time assert continued ownership or claim to the animal, 3) understand and agree that the animal may not be returned to you if you change your mind later, and 4) that the animal will be adopted out to new owners.*
