THESE CATS WILL HAVE THEIR LEFT EARS CROPPED TO IDENTIFY THEM AS STERILE, FREE-ROAMING, MANAGED CATS. *

I agree

Feline Friends Network (FFN) provides spay / neuter (plus vaccinations at the time of spay / neuter – FFN does not provide additional / ongoing vaccinations, wormer, flea medication etc.) for feral / unowned / barn cats. I certify that to the best of my knowledge the cats I am enrolling are unowned or barn cats. *

I agree

All cats face risks during trapping / anaesthesia / surgery and I hold FFN, its partnering veterinarians and staff, volunteers and associated facilities harmless should a cat escape, experience complications, injury, or death. Any cat deemed by the veterinarian to be severely ill or injured will be humanely euthanized. *

I agree

I promise these cats will be provided with daily food, fresh water and year-round appropriate shelter, following guidelines stated by FFN. I will return and release all cats to the location(s) from which they were taken and make sure they are cared for during the remainder of their natural lives. *

I agree

All micro-chipped cats in my care will be registered to me by FFN. *

I agree

I AGREE TO ADHERE TO THE TRAPPING PROTOCAL AS TAUGHT BY FFN. *

I agree

Caregiver name *

First Name

Last Name

Is the location of the colony the same as Caregiver's address? *

yes

no

Phone number *

(###)

###

####

Please indicate if number is your home or cell phone. *

home

cell

Alternate phone number

(###)

###

####

Please indicate if number is your home or cell phone.

home

cell

Colony setting (please check one) *

Farm / rural

Private residence

Business

Public property

Are you willing & able to arrange a driver or drive the cats to vet appointments? (between 8am–9 am depending on vet used. Locations may include Kitchener-Waterloo, London, or Tavistock, based on availability) *

yes

no

Are you willing & able to pick up cats at vet after surgery? (between 3:30pm–5pm depending on vet used) *

yes

no

Do you have a warm place (18 degrees minimum) to hold the cats in dog crate or traps (ferals) THE NIGHT OF SURGERY and for 1-2 days after surgery? *

yes

no

Are you willing to contribute $35 minimum per cat, at the time of TNR, to allow us to assist more cats? Your generous contribution helps to make the difference. *

yes

no

In order for FFN to accept my application for TNR, I agree to be bound by this Release, Waiver and Assumption of Risk *

I agree

I acknowledge that cats can be unpredictable in their behavior and are capable of inflicting serious bodily injury *

I agree

I am aware of the risk of injury, property damage or loss of any kind sustained by me as a result of working with Feline Friends Network of Stratford as a volunteer in the care and well-being of cats (the “Activity”) and in consideration of the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns or personal representatives, voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the activity and do hereby release and forever discharge Feline Friends Network, located in Stratford, their directors, members, volunteers, representatives and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss that I may suffer as a direct result of my participation in, and/or travel related to this Activity. In the event that I should require medical care or treatment, I agree to be financially responsible for all costs and expenses incurred as a result of such treatment. I am aware and understand that I should maintain my own insurance. *

I agree

Acceptance by FFN of my application for TNR is dependent upon my agreement to be bound by this Release, Waiver and Assumption of Risk *

I agree

In entering into this agreement, I am not relying on any oral, written or visual representations or statements made by the Released Parties to induce me to participate in the Activities of FFN. *

I agree

I confirm that I am the full age of majority and that I have read and understand this agreement prior to signing it and agree that this agreement will be binding upon me, my heirs, next of kin, executors, administrators and successors. *

I agree

The information I have provided on this application is true & complete. *

I agree

Date of application *

MM

DD

YYYY