Office of Facilities and Grounds

University of Hawai‘i at Mānoa

Office of Facilities and Grounds

Authorized Cat Colony Caretaker Registration Application

CONTACT INFORMATION

Name ______

Primary Contact Number (_____)______

Secondary Contact Number (_____)______

E-mail ______

CAT COLONY/COLONIES

Location ______

Number of Cats ______

General Condition of the Colony (number of fixed individuals, kittens (less than 6 months), etc.) ______

______

AGREEMENT

I, ______, agree to follow the guidelines for managing cat colonies on the University of Hawai‘i at Mānoa (UHM) as stated in the University of Hawai‘i at Mānoa Service Bulletin 20081215 – Homeless and Feral Cats Program. I also agree to cooperate with UHM Office of Facilities and Grounds personnel in management of cat colonies on the university campus. Failure to abide by these guidelines will result in loss of cat caregiver privileges and possible referral for legal action pursuant to State, City and County, and University laws and regulations.

Signature ______Date ______