Please fill out the following form if you are interested in surrendering your cat to Heartland Small Animal Rescue.  Filling out this form does not guarantee we will take in the cat.  After filling out this form, you MUST email a photo of the cat within 24 hours to heartlandsmallanimalrescue@gmail.com with the subject of "(Cat's name) - (Your name) - Surrender".

Please answer these questions truthfully and to the best of your knowledge.  Your cat's vetting status, health, or behavioral issues are not automatically going to exempt them from being accepted into our adoption program.

Name *
Name
Address *
Address
Phone (Home or Cell) *
Phone (Home or Cell)
Gender *
Please give best estimate if unsure.
Is it spayed or neutered? *
Is it up to date on its rabies vaccine? *
When was the date of its last rabies vaccine?
When was the date of its last rabies vaccine?
Is it up to date on its distemper vaccine? *
When was the date of its last distemper vaccine?
When was the date of its last distemper vaccine?
Please be specific.
Can you foster the cat while it's up for adoption? *
If adopted from a rescue, have you contacted the rescue to inquire about surrendering the cat?
Most rescues have policies in place that require the adopted pet is returned to them.
I affirm the above questions were answered truthfully and that I am the legal owner of this cat. *
I agree that I will email a photo of the cat within 24 hours to heartlandsmallanimalrescue@gmail.com with the subject of "(Cat's name) - (Your name) - Surrender" *
Please help us care for your cat while we work to rehome *
Suggested donation for a cat surrender is $30. However, any amount is helpful.