Cat Intake Request Form

If you would like to contact us about a domestic cat that needs to be placed for adoption, we invite you to fill out this form. We are a cage-free adoption center, so the cat must be friendly and able to live with other cats. We do not trap cats and we do not take feral cats. The cat's owner or guardian must be able to bring the cat at a scheduled intake appointment time.

Homeward Bound Cat Adoptions is a privately run, limited admission adoption center. Please know that we get many more requests to intake cats than we have the capacity for. We help as many cats and kittens as we can. We recommend you contact multiple rescues.

Complete one form for each cat. All fields with a red * must be completed.

Submitting this form does not guarantee that Homeward Bound Cat Adoptions will be able to take in the cat. A member of our team will review each request. If a cat is accepted into our rescue, a team member will contact you to schedule an intake appointment.

There is a required intake fee of $100 per adult cat, and $100-300 per litter of kittens.


First *
Last *
Address
Street Address *
City *
State *
ZIP Code *

Email *


Phone *

How did you hear about us?

Tell us your relationship to the cat. *

If you are surrendering this cat for someone else, do you have a signed note or power of attorney giving you permission to surrender the cat? *

Where was the cat obtained? *

Most rescue organizations will take back cats adopted from them. Have you contacted them to see if they will take back this cat? *

How long can you continue to home the cat? What is your time frame for needing to re-home the cat? *

If you've found a stray cat, chances are it's someone's beloved pet. The owner may be anxiously waiting to hear from you. Take the cat to any veterinary clinic to be scanned for a microchip. Post flyers, ask neighbors, and share on social media to try to reunite the cat with it's owner. Try these sites: Pawboost Nextdoor Lost and Found Cats of Southern Nevada Vegas Cats We do not go out into the community and pick up cats/kittens. We do not have a veterinary clinic. If you see cats/kittens needing immediate help, try these resources: Las Vegas Cats Vegas Cat Rescue Community Cat Angels Your city's Animal Control

Are you able to keep the cat/kittens safe until an intake appointment is scheduled, and then bring the cat/kittens to Homeward Bound? *

If you answered No, stop here and take the cat(s) to The Animal Foundation or the Henderson shelter, call Animal Control, or contact other rescues. Homeward Bound is not a shelter and cannot take cats on short notice.

Tell us how you got the cat. *

What steps have you taken to try to find the cat's owner? *

How long have you had the cat? *

Please explain why you are surrendering the cat to Homeward Bound Cat Adoptions. *

What steps have you taken to try to re-home the cat before contacting us? Have you tried any of the methods on our Resources page? *
Cat Information
Cat's Name

Cat's age or date of birth *

This cat is *

Is the cat spayed or neutered? *

Is the cat declawed? *

Does the cat have a microchip? *

Microchip Number
Cat Health
Veterinary records help us avoid unnecessary vaccinations and tests.

Has this cat been to a veterinarian? *

Date of last vet visit

Name of Veterinarian
Veterinarian Address
Street Address
City
State
ZIP Code

Phone number of veterinarian

Date veterinary care began

Owner name on vet records

Date of last rabies vaccine

Rabies tag number

Date of last FVRCP (distemper/upper respiratory) vaccine

Tested for FeLV? *
Date of last FeLV test
FeLV test result

Tested for FIV? *
Date of last FIV test
FIV test result

Are you aware of any health issues the cat has? *
Please explain.

How does the cat react to going to the vet?

What kind of food does the cat eat? Dry/canned or both? Brand? *

How often do you feed the cat? *

The cat's favorite food/treats
Cat Personality and Behavior

Choose the terms that best describe the cat. *

Can you pet the cat? *

Does the cat enjoy being picked up and held? *

If no, please explain.

Does the cat use a scratching post? *
If yes, what type of scratching post?

Does the cat enjoy playing with toys? *
If yes, what types of toys?

How many hours a day is the cat indoors? *

How many hours a day is the cat outdoors? *

Does the cat have access to a litter box in the house? *
If no, please explain.
Is the litterbox covered?
Where is the litterbox located?

How often was the litter box scooped? *

What type(s) of litter did you use? *

If you have other cats, how many shared a litter box?	One Two or more Many cats Multiple boxes for multiple cats

Are litter box accidents an issue? *
If yes, when did they begin? *
Please describe the accidents *

How did you deal with the accidents? *
Has the cat been to a veterinarian to rule out infection or underlying health issue? *
If yes, what was the diagnosis?
Date of vet visit
Cat's Experience with Other Animals
Has the cat lived with other cats? *
How did they interact?	Adored each other Played together Slept together Ignored each other Rough with each other Fought without injuries Fought with injuries Peacefully coexisted

Has the cat lived with dogs? *
How did they interact?	Adored each other Played together Slept together Ignored each other Cat feared dog Dog chased cat Cat tormented dog Fought without injuries Fought with injuries Peacefully coexisted

Are there other pets in your household? *
If yes, what kinds?	Rabbit Bird Ferret Reptile Other

How do they get along?

Has the cat ever bitten anyone? *
When did the bite occur? *
Please explain the circumstances surrounding the bite. *
Cat's Experience with Children
Has the cat been around children? *
How does the cat react to children? *

What ages are the children? *

If the cat lived with children under the age of 5, how did they interact?	Cat actively avoids child Child can pet cat Mutual adoration Ignore each other Cat and child play together Cat hisses or growls at child Other

Would you recommend that this cat be placed with children? *
If yes, what ages?
Home Life
How would you describe the household the cat lived in? *	Quiet Average Active Noisy

Who is the cat used to living with? *

What areas of your home does the cat have access to? *

Where does the cat spend most of his/her time when you are home? *

Where do you leave the cat when you are gone for portions of a day or evening? *

What arrangements are made for cat care when you are away for more than a day? *

How does the cat react to being left alone? *

How does the cat react to visitors?	Very social Ignores them Hides Attacks

Does the cat do any of the following? *

Is there anything else we should know about the cat?
You may upload up to 3 photographs of the cat/kittens.
Image 1
Image 2
Image 3
Agreement
If your cat is accepted into our adoption program, we will require an intake fee. $100 per adult cat $100-$300 per litter of kittens Fees help cover the cost of spay/neuter, vaccinations, testing, and other medical treatments. Some cats need dental care or surgery. We also provide socialization and enrichment, grooming, housing, bedding, food, water, litter, and other supplies while working to find new homes for the cats in our care.
By signing this document, I certify that the information I have provided about this cat is true and complete, and I have not willfully concealed information. I hereby forever release, discharge and agree to hold harmless and indemnify Homeward Bound Cat Adoptions, its volunteers and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of, or in connection with, the adoption or other disposition of the cat described above. Upon signing this agreement, the owner hereby irrevocably and unconditionally transfers full ownership of this cat to Homeward Bound Cat Adoptions (HBCA). HBCA agrees to accept the above cat into its care and provide the cat with an appropriate standard of care in accordance with its policies and procedures. HBCA has my permission to contact my veterinarian for information pertaining to the cat. I consent to the release of all veterinary records. (Please sign in the area above the gray line by holding left mouse button and drawing. Draw with finger if using touchscreen.)
Signature *
First Name *
Last Name *
Date of request submission *

What happens after you Submit?

Once you press submit, your form will be sent automatically to Homeward Bound. Due to a high volume of intake requests, a member of our team will typically respond via email. Please check your email (including your spam folder) for a follow-up message from Homeward Bound within 2-3 days. In some cases we may follow up by phone.

Cat Intake Request Form

Address

If you answered No, stop here and take the cat(s) to The Animal Foundation or the Henderson shelter, call Animal Control, or contact other rescues. Homeward Bound is not a shelter and cannot take cats on short notice.

Cat Information

Cat Health

Veterinarian Address

Cat Personality and Behavior

Cat's Experience with Other Animals

Cat's Experience with Children

Home Life

You may upload up to 3 photographs of the cat/kittens.

Agreement