Feral Friends Feral Friends ID#______

PO Box 832857

Richardson, TX 75083 Feral Friends ID#______

Toll Free Fax: 866-865-6671

Feral Friends ID#______

Caregiver Information:

Name: ______Home Phone: ______Cell Phone: ______

Work Phone: ______E-Mail: ______

Address: ______City: ______State: ______Zip: ______

Feral Cat Information (additional room on back of form):

Cat #1:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #2:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Colony Information:

Address or Intersection: ______City: ______

I understand that as part of my participation in Feral Friends’ Race to Reduce Litters Program, I agree that…

-I will only trap feral cats for sterilization purposes, or for other required veterinary attention. I will not use the trap(s) to capture any cat with a home; to capture a healthy animal to be euthanized or turned over the animal control; for any unlawful purpose; or to capture any cat for research/testing purposes for profit or otherwise.

-I will immediately release any wildlife trapped in the area in which it was trapped.

-I am responsible for ensuring that the cats I trap are kept safe from weather, people, and other animals while in the trap; and that they receive food, water, and necessary care while caged and after release.

-all feral cats accepted into Feral Friends’ Race to Reduce Litters Program receive a spay or neuter, rabies vaccination and mandatory ear tipping. These services are provided by a Feral Friends’ participating veterinarian once an authentic Feral Friends identification number is issued. Any and all other services required by the vet or requested by me will be my responsibility, including, but not limited to, flea treatments, ear mite treatments, in-heat or pregnancy surcharges, vaccinations, testing, boarding, and euthanasia.

-In some cases it may be necessary to euthanize cats and/or kittens whose physical conditions may prevent them from being able to have a quality life and that this decision will be made by Feral Friends in conjunction with their participating veterinarians. I further agree that I will not hold Feral Friends or the participating veterinarian(s) liable or responsible for this decision or their actions.

-I will hold Feral Friends harmless if I am injured while trapping. In the event I, or anyone else, is bitten by my trapped feral cat, the law requires a 15-day quarantine period, the cost of which will be my responsibility.

______

Signature Date

Please return completed form to the address of fax # shown above.

Please remember that all of Feral Friends participating veterinarians have active, for-profit practices, and generously give of their time based upon their commitment to ending the problem of pet overpopulation. They deserve respect and courtesy as they do their best to adjust their regular schedules to accommodate trapped ferals.

Feral Cat(s) Information: (continued)

Cat #3:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #4:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #5:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #6:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #7:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #8:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #9:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

Cat #10:

Color: ______Sex (circle one): male female unknown

Fur Length (circle one): short medium long Estimated Age: ______

You can become part of this exciting, ever-growing program! You’ll learn the “ins and outs” of our low cost spay/neuter program for feral cats, how to use and loan out traps, and where support and assistance is available to the general public. NO EXPERIENCE IS NECESSARY! Controlling the feral population is the answer to pet overpopulation – and this is your chance to be part of this effort! You can help us educate the public, work one on one with feral caregivers, and help us spread the word about the benefits of feral cat care and management. Help represent Team Feral! We need you! The cats need you! For more information, go to www.feralfriends.org, or call 972-671-0429.

FERAL FRIENDS COMMUNITY CAT ALLIANCE

P.O. Box 832857

Richardson, Texas 75083-2854

972-671-0429

Toll Free Fax: 866-865-6671

www.feralfriends.org

Date: ______

Caregiver: ______

Please complete the form below to make a donation for the value of your ferals’ services.

Thank you.

Type of Card M/C___ VISA___ American Express___

Card Number ______

Exp. Date ______

Amount Authorized ______

Name on Card ______

Signature ______

Address ______

City, State, Zip ______

Phone ______

E-mail ______