TNR Page

TNR

"*" indicates required fields

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Email

Animal Information

Name of Pet #1*

First

Gender*

Female

Male

Age*

Color*

More than 1 pet to be spayed/neutered? List here with all information.

Are any of the cats on medication? If yes, please list which cat, medication and condition.*

Is/are the cat(s) healthy? If no, please explain.*

Does your cat(s) have any preexisting health conditions? If yes, please list.*

Is/are your cat(s) showing any vomiting, rash, and or diarrhea?*

How did you get your cat(s)?*

Stray

Bred

Kijiji

Rescue Group

None of the Above

Do you currently have a vet? If yes, please list.*

How long have you been caring for the cat(s)?*

Are you able to be a permanent caretaker for the cat(s) (Provide shelter, food, water and vet care if necessary)*

Yes

No, I’m a temporary caretaker

Please describe how the cat(s) receive shelter from the elements:*

Barn

Garage/Shed

Insulated Shelter(s)

None of the Above

Declaration

I hereby certify that the information I have provided is truthful and correct to the best of my knowledge. I hereby agree to waive any and all claims for damages against the Victoria County SPCA, the Grand Falls Veterinary Clinic and/or the Florenceville Veterinary Clinic, and any officers, volunteers, or agents of the program in the event of death or injury to the animal during the surgery.*

I agree

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