Call Us at : 406.683.8119

Dogs
Cats
Adopt
Book Your Appointment
Foster
Volunteer
- Volunteer With Us
- Apply to Volunteer
ReHome & Surrender
- ReHome Your Pet
- Stray & Surrender Applications
About
Contact

DONATE

Stray & Surrender Cat Application

1Current Owner Information

2Cat Basics

3Routine

4Disposition

5Medical

6Authorization

Company
This field is for validation purposes and should be left unchanged.
First Name*
Last Name*
eMail Address
eMail Address Confirm eMail Address
Street Address*
Suite or Unit Number
City*
State/Province*
ZIP/Postal Code*
Country
- Phone*
History
This field is hidden when viewing the form
Cat Default Status: Submitted
- Are you the legal owner of the cat?*
  - Yes
  - No
- Please Explain*
- Are you the only owner of the cat?
  - Yes
  - No
- Please Provide Other Owner's Name:
- Other Owner's Phone #
When Did You Get The Cat? (approximate if necessary)
Month
Day
Year
How Long Have You Had This Cat?
- How Was The Cat Obtained?
- Please Explain
- Breeder's Name (if Known)
- Have They Been Notified?
  - Yes
  - No
- Why Not?
- Owner of Cat's Sire (If Known)
- Why Are You Giving Up The Cat?*
- Please Explain
- Please Explain The Behavior Issues
- Please Explain The Health Issues
- Please Explain Care Needed
- How Many Homes Has This Cat Had?
- Are you prepared to transfer registration to the Rescue on or prior to the surrender of the cat?*
  - Yes
  - No
Veterinarian Information
Do You Have a Veterinarian?
- Yes
- No
Name of Clinic
Name of Vet
Street Address
Suite or Unit Number
City
State
ZIP
Phone

- Cat's Name*
- Cat's Registered Name (If Purebred)
- Cat's Registration Number (If Known)
- Primary Breed*
- Breed Name
- Secondary Breed
- Breed Name
- Primary Color*
- Which Color?*
- Secondary Color
- Which Color?*
Gender*
- Male
- Female
Cat's Date of Birth (If Known)
Month
Day
Year
This field is hidden when viewing the form
Weight
This field is hidden when viewing the form
Energy Level*
- Good With Kids?
- Good With Dogs?
- Please Explain
- Good With Cats?
- This field is hidden when viewing the form
  Good With Small Animals?
Good With Livestock?
This field is hidden when viewing the form
Is Cat Trained?
- Are There Any Special Needs (Medical)?
  - Yes
  - No
- What Special Needs(Medical)?
  Select All That Apply
- Are There Any Special Needs (Emotional)?
  - Yes
  - No
- What Special Needs (Emotional)?
  Select All That Apply
Description of the Cat
Featured Image
Accepted file types: jpg, jpeg, png, gif.
750 Wide x 750 High in Pixels
Additional Photos of The Cat
Drop files here or

Accepted file types: jpg, gif, png, jpeg, Max. file size: 1 MB, Max. files: 3.
Upload Photos of the Cat (minimum of 3 - include one head shot, one full body) and 750 Wide x 750 High in Pixels

Eating
- How Often Is The Cat Fed?
- Does Cat Eat Wet Or Dry Food (Or Both)?
- What Type Of Wet Food Does The Cat Eat?*
- How Much Wet Food Does The Cat Eat?*
- What Type Of Dry Food Does The Cat Eat?*
- How Much Dry Food Does The Cat Eat?*
- What Type Of Wet Food Does The Cat Eat?*
- How Much Wet Food Does The Cat Eat?*
- What Type Of Dry Food Does The Cat Eat?*
- How Much Dry Food Does The Cat Eat?*
- What Ingredients?*
- How Much?*
Is Cat A Good Eater?
This field is hidden when viewing the form
Does Cat Steal Food From Table/Counters?
This field is hidden when viewing the form
Sleeping
This field is hidden when viewing the form
Which Room Does Cat Normally Sleep In At Night?
Select All That Apply
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
What Does Cat Use For A Bed?
Select All That Apply
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Is Cat Allowed On Furniture?
This field is hidden when viewing the form
Grooming
This field is hidden when viewing the form
How Often is Cat Bathed?
This field is hidden when viewing the form
Please Describe:
This field is hidden when viewing the form
Does Cat Mind Baths/Grooming
This field is hidden when viewing the form
Does Cat Mind Toenails Clipped
This field is hidden when viewing the form
Does Cat Mind Ears Cleaned
This field is hidden when viewing the form
How Often is Cat Groomed?
This field is hidden when viewing the form
Please Describe:

Cat & People
- Is Cat A One Person Cat?
- Does Cat Like Men?
- Please Explain*
- Please Explain*
- Does Cat Like Women?
- Please Explain*
- Please Explain*
- This field is hidden when viewing the form
  Does Cat Prefer Men?
- This field is hidden when viewing the form
  Please Explain*
This field is hidden when viewing the form
Does Cat Prefer Women?
This field is hidden when viewing the form
Please Explain*
This field is hidden when viewing the form
Does Cat Jump On People?
This field is hidden when viewing the form
Is Cat Friendly With Strangers?
This field is hidden when viewing the form
Is Cat Good With Other Animals?
This field is hidden when viewing the form
Is Cat Good With Kids?
This field is hidden when viewing the form
Does Cat Like Kids Under 6?
This field is hidden when viewing the form
Does Cat Like Kids 6-10?
This field is hidden when viewing the form
Does Cat Like Kids Over 10?
This field is hidden when viewing the form
Is Cat Good with Male Cats?
This field is hidden when viewing the form
Is Cat Good with Female Cats?
This field is hidden when viewing the form
Other Behaviors/Traits Not Covered
This field is hidden when viewing the form
Is there anything else you would like to let us know about the Cat's disposition?
This field is hidden when viewing the form
Training
This field is hidden when viewing the form
Does Cat Know Basic Commands?
Select All That Apply
This field is hidden when viewing the form
Is Cat Obedience Trained?
This field is hidden when viewing the form
Is Cat House Trained?
This field is hidden when viewing the form
Is Cat Crate Trained?
This field is hidden when viewing the form
Is Cat Leash Trained?
This field is hidden when viewing the form
How Does Cat React on Walks?
Select All That Apply
This field is hidden when viewing the form
Does Cat Know How To Use A Doggie Door?
This field is hidden when viewing the form
Does Cat Have Occasional Accidents?
This field is hidden when viewing the form
Does Cat Tear/Chew Furniture Or Carpet?
This field is hidden when viewing the form
Can Cat Be Left Uncrated?
This field is hidden when viewing the form
Does Cat Dig?
This field is hidden when viewing the form
Does Cat Know How To Swim?
This field is hidden when viewing the form
Does Cat Jump Fences?
This field is hidden when viewing the form
Does Cat Escape?
This field is hidden when viewing the form
Does Cat Ride Well In The Car?
This field is hidden when viewing the form
Barking
This field is hidden when viewing the form
Does Cat Bark At Noises?
This field is hidden when viewing the form
Does Cat Bark At Someone At The Door?
This field is hidden when viewing the form
Does Cat Bark Excessively?
This field is hidden when viewing the form
Fear & Agression
This field is hidden when viewing the form
Does Cat Exhibit Submissive Behavior?
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Does Cat Exhibit Aggressive Behavior?
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Does Cat Guard Food?
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Does Cat Guard Other Resources (Toys, People, etc.)?
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Is Cat Shy?
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Is Cat Fearful Of Strange Noises/Storms?
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Please Describe*
This field is hidden when viewing the form
Has Cat Ever Bitten Anyone?
This field is hidden when viewing the form
Please Explain*
This field is hidden when viewing the form
Has Cat Otherwise Attacked Anyone?
This field is hidden when viewing the form
Please Explain*
This field is hidden when viewing the form
Has Cat Attacked Another Animal (Cat, Cat or Other)?
This field is hidden when viewing the form
Please Explain*
This field is hidden when viewing the form
Is there anything else you would like to let us know about the cat's disposition?

This field is hidden when viewing the form
Medical: MicroChip Information
This field is hidden when viewing the form
Is Cat MicroChipped?
- Yes
- No
- Unknown
This field is hidden when viewing the form
MicroChip Company (If Known):
This field is hidden when viewing the form
Other Company Name:*
This field is hidden when viewing the form
MicroChip Number (If Known):
This field is hidden when viewing the form
Exam Dates
This field is hidden when viewing the form
Last Heartworm Test
This field is hidden when viewing the form
Heartworm Results
- Positive
- Negative
This field is hidden when viewing the form
Next Heartworm Test
This field is hidden when viewing the form
Last 4DX
This field is hidden when viewing the form
Heartworm
- Positive
- Negative
This field is hidden when viewing the form
Lyme
- Positive
- Negative
This field is hidden when viewing the form
Lyme
- Positive
- Negative
This field is hidden when viewing the form
Ehrlichia Canis
- Positive
- Negative
This field is hidden when viewing the form
Ehrlichia Ewingi
- Positive
- Negative
This field is hidden when viewing the form
Anaplasma Phagocytophilum
- Positive
- Negative
This field is hidden when viewing the form
Anaplasma Platys
- Positive
- Negative
This field is hidden when viewing the form
Next 4DX
This field is hidden when viewing the form
Last Fecal
This field is hidden when viewing the form
Clostridium
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Coccidia
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Giardia
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Roundworms
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Tapeworms
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Whipworms
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Parasites
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Bacteria
- Positive
- Negative
- Not Tested
This field is hidden when viewing the form
Date 1
Dates medication given/started for positive Fecal Flotation Test result(s) above or for prophylactic deworming of negative fecal result.*
This field is hidden when viewing the form
Date 2
This field is hidden when viewing the form
Date 3
This field is hidden when viewing the form
Next Deworming Treatment
This field is hidden when viewing the form
Next Fecal
This field is hidden when viewing the form
LAST FeLV
This field is hidden when viewing the form
FeLV Results
- Positive
- Negative
This field is hidden when viewing the form
NEXT FeLV
This field is hidden when viewing the form
LAST FIV
This field is hidden when viewing the form
FIV Results
- Positive
- Negative
This field is hidden when viewing the form
NEXT FIV
This field is hidden when viewing the form
Flea & Tick
This field is hidden when viewing the form
Medication
This field is hidden when viewing the form
LAST DATE
Date Flea/Tick Preventative Given
This field is hidden when viewing the form
NEXT DATE
Next Flea/Tick Treatment (Flea/Tick preventatives are due once a month unless the cat is on Bravecto which is given every 3 months.)
Spay Neuter
Has The Cat Been Spayed/Neutered?
- Yes
- No
Name of Vet Verifying Surgery
How Was it Verified?
Please Describe
Expected Date
Please Explain Why Not
Please Describe
This field is hidden when viewing the form
Medical & Dental Issues
This field is hidden when viewing the form
Past Medical Issues
This field is hidden when viewing the form
Past Dental Issues
This field is hidden when viewing the form
Known Allergies
This field is hidden when viewing the form
Add Allergies

Notes
Is there anything else you would like to let us know?
In your opinion, what would be the best type of home situation for this cat?
Signature
Authorization: I hereby represent and warrant each of the following: (a) that I am the rightful owner/keeper/caretaker/custodian of the cat (b) that I have authority to convey, surrender and relinquish the cat, (c) that I am hereby willfully surrendering and releasing any and all of my property rights to the cat, (d) that no other person has a right of ownership or property to the cat, (e) that upon surrender the cat may not be returned to me. I have read and understand the terms of this Surrender From.*
- Yes

Beaverhead Animal Shelter's Sponsor

Hours of Operation

Tuesday thru Saturday: 11am - 4:30pm
Closed Sundays & Mondays For Shelter Cleaning

Phone Hours

You can reach us by phone 406.683.8119
Tuesday thru Saturday: 11am - 4:30pm

Beaverhead Animal Shelter © 2026. All Rights Reserved.

Powered By: Buzz

Site Map

Jojobet Giriş Marsbahis Giriş Jojobet Giriş Casibom

X