Fix A Feral Program Form

By completing this form, I, the undersigned, have read through all the literature provided and agree to all materials. Please note, the vouchers can be used at ANY of the animal hospitals listed on the previous page. DO NOT TRAP ANY CATS UNTIL YOU RECEIVE THE VOUCHERS FROM LAST HOPE.

I agree that neither LAST HOPE, INC., nor the veterinarian performing surgery, or any of their agents, or volunteers or employees shall be, at any time or to any extent whatsoever, liable, responsible, or in any way accountable for any reactions to this procedure. I agree to pick up the cat after surgery and arrange for the appropriate post-operative care. Males can be released the day after surgery. Females should be held at least 48 hours after surgery. I assume full responsibility for the care, feeding and protection of this feral cat for the duration of its life. I understand that the cat MUST BE RETURNED TO ITS TRAPPING SITE. If the feral cat becomes sick or injured, I will see that every attempt is made to provide appropriate veterinary care or humane euthanasia. I will not allow this cat to suffer need needlessly.

Where are the cats that you are feeding located? (Include Street Address & Township))

How many adult cats are in the colony?

How many adults already spayed/neutered?

How many kittens in the colony?

How many kittens already spayed/neutered?

What do you plan to do with the kittens if they can be tamed or are tame?

How many cats/kittens REMAIN to be spayed/neutered?

How old are the kittens?

Can you handle them?

How long have you been feeding this colony?

Your Full Name

Your Email Address

Your Mailing Address

Your Phone Number

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