Stray-to-Stay Program ApplicationNote: Program is limited to stray cats and kittens only printable stray-to-stay application Your Name * First Name Last Name Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Are you over the age of 18? * Yes No Pet is * Note only cats/kittens are eligible for the Stray-to-Stay Program My own pet A family member's pet A stray Other Describe how you came to possess the cat/kitten: * Cats name * Cats gender * Male Female Unknown Approximate age or date of birth, if known * Your best guess is fine if you are not sure Breed * Domestic Short Hair Domestic Medium Hair Domestic Long Hair Coat color & pattern: * Pet is * Spayed/Neutered Not Spayed/Neutered Not Sure if Spayed/Neutered Pet has already received * Rabies vaccine Distemper vaccine Flea treatment FIV/FeLV testing Microchip Dewormer None Is the cat friendly? * Yes No Does the cat like to be touched? * Yes No Is the cat able to be kept indoors for a temporary period? * Yes No Are you looking to adopt or surrender this cat? Keep/Adopt Surrender Does the cat appear healthy? * Yes No If you answered no to the previous question, please explain health concerns in detail: Additional Information Thank you! You should hopefully hear from us with in a 2 week time period.