Name *

First Name

Last Name

Home Phone *

(###)

###

####

Mobile Phone (or secondary contact number) *

(###)

###

####

Do any of the cats appear ill or injured? *

Yes

No

Do you feed the cats? *

Yes

No

Do any of your neighbors feed the cats? *

Yes

No

When are the cats fed? *

Morning

Noon

Evening

I'm Not Feeding the Cats

Have you trapped feral cats before? *

Yes

No

Have you attended one of the workshops given by Triple R Pets? *

Yes

No

Are you willing to trap the feral cats you care for if you are shown how to do it? *

Yes

No

Are you willing to safely transport the trapped cats to and from a low cost clinic? *

Yes

No

Are you aware that a fully refundable $60 deposit is required to borrow a trap? *

Yes

No

Are you able to donate $50 for each cat to help cover the cost of surgery, vaccination, deworming, flea control, microchip and registration? *

Yes

No