Rehoming Your Cat - Weld Campus Owner Name First Last PhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What brings you to NOCO Humane to surrender your cat?What breed is your cat?How old is your cat?How did you acquire your cat? (ex. Name of shelter/rescue)How long have you owned your cat?Who is your veterinarian?Does your cat have a microchip? If so, what is the microchip ID number?Is your cat's rabies vaccine up to date? When did your dog last receive the rabies vaccine?Does your cat have any known medical issues, dietary restrictions, or prescriptions?Does your dog experience separation anxiety or other types of anxiety? If so, has it been medically diagnosed? Please describe:What is your cat's current daily diet?Is your cat declawed?Is your cat litter box trained?How many litter boxes are in the home?Where are the litter boxes located in the home?What type of litter boxes are they? (Open, closed, etc.)What type of litter does your cat use?How often were the litter boxes scooped? How often were they fully cleaned?Is your cat able to be transported using a carrier?Please describe your cat's behavior while riding in the car:Please describe your cat's behavior while with a veterinarian:Is your cat leash trained?Is your cat an indoor or outdoor pet?If indoor, has your cat escaped or tried to?Please describe your cat's personality:What are your cat's favorite toys, games, and activities?Does your cat have any notable fears?What is your cat's behavior around other cats?What is your cat's behavior toward dogs?What is your cat's behavior when around children?What is your cat's behavior toward strangers?Does your cat have any behaviors that you consider a problem?Does your cat have any aggressive behaviors? If so, please describe the situation(s) and behaviors:What would your cat's perfect home be?Has your cat ever bitten a person? If yes, please describe the situation:Has your cat ever been in an altercation with another cat? If yes, please explain:Has your cat bitten and broken skin on a human in the last 10 days? Yes No If yes to the question above, please describe the situation:Who or what type of people have these behaviors occurred with? (ie. Children, men, women, strangers, bicyclists, veterinarians, owners, anyone at all, one person in particular)What behaviors has your cat displayed toward people? (Check all that apply) Growl Bark Lunge Hiss Swat Scratch Chase Urinate Snap Raised hair Tense Hard stare Fixate Has your cat ever been in an altercation with another animal? If yes, please explain:If yes to the question above, were there injuries from this altercation?If applicable, did the injured animal require medical treatment? What degree of damage was done? (ie. stitches, amputation, etc.)If applicable, how did you stop the altercation and how easily was the altercation stopped?What behaviors has your cat displayed toward people? (Check all that apply) Growl Bark Lunge Hiss Swat Scratch Chase Urinate Snap Raised hair Tense Hard stare Fixate Has your cat ever injured or killed another animal? If yes, please explain:Is there anything else you would like to share about your cat?Can we call you with follow up questions if needed?CAPTCHA
