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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Can we text this number: *

    1. Yes
    2. No
14. Email Address*
15. Are you a Williamson County Resident?*

    1. Yes
    2. No
17. Are you a representative of a rescue or shelter applying for spay/neuter of an animal in care of the organization?*

    1. No
    2. Yes

    This does NOT include if you have adopted an animal from a rescue or shelter.

18. If so, please provide the name of the rescue. *
20. Appointments are made only for the cat that is identified on this application. Cats that are not identified will not be accepted at the time of appointment.
22. How many total cats will you need assistance with? *
    -- Select One --123+
24. For over 3 cats, please provide the total number:
28. Cat's Name*
29. Cat's Age (Estimate)*
30. Color*
31. Secondary Color
33. Hair Length*
    -- Select One --ShortMediumLongHairless
34. Gender*
    -- Select One --MaleFemaleUnknown
35. Is this cat microchipped?*
    -- Select One --YesNoUnknown
39. Cat #2's Name*
40. Cat's Age (Estimate)*
41. Color*
42. Secondary Color
44. Hair Length*
    -- Select One --ShortMediumLongHairless
45. Gender*
    -- Select One --MaleFemaleUnknown
46. Is this cat Microchippped?*
    -- Select One --YesNoUnsure
52. Cat #3 Name*
53. Cat's Age (Estimate)*
54. Color*
55. Secondary Color
57. Hair Length*
    -- Select One --ShortMediumLongHairless
58. Gender*
    -- Select One --MaleFemaleUnknown
59. Is this cat Microchipped?*
    -- Select One --YesNoUnknown
63. If more than 3 cats, please provide the following for the additional cats: (Name/Age/Color/Gender)
65. If any of your cats are a specific Breed, please specify.
67. If any known medical conditions for any of the cats, please explain:
69. Will you be able to Safely Handle all the cats to bring them in to the appointment?*
    -- Select One --Yes, I can pick up all catsNo, I can not pick up the cat. I'm not sure, what do you suggest?
71. For Williamson County Residency Only, we accept cats in a Humane Traps-such as a “Havahart” or “Tomahawk” between 8:30am-11:00am, Monday through Friday without an appointment. You can rent a trap from us for a $50, refundable deposit. *

    1. Yes, I will try to trap the cat.
    2. No, I want to try to get the cat in a carrier or crate.
    3. I would like assistance with trapping.

    *Cats brought in any carriers or dog crates cannot be accepted without an appointment. 

73. Do any of these cats have nursing kittens?

    1. Yes
    2. No
75. If so, please consider applying to our Kitten Rescue and Rehome Application for the kittens.
    https://www.adoptwcac.org/FormCenter/Animal-Center-5/Kitten-Rescue-Rehome-Application-61

    *Must weigh 2lbs minimum and 4lbs maximum to qualify for Kitten Rescue and Rehome. 

77. How did you get this/these cats?

    1. Appeared/Found on my property or neighbor
    2. Given to me by a friend/family member

    1. Online/ Social Media (eg. Facebook Marketplace, Craigslist)
    2. Other
79. How did you learn about our cat spay/neuter program?*

    1. Companion Project
    2. Flyer or Other Promotional Materials
    3. Media Announcement

    1. Other WCAC Program (ex. adoption, volunteerism, "Paw Pantry", etc.)
    2. Social Media or Website
    3. Word of Mouth
83. This is an *

    1. Indoor Only Cat
    2. Indoor/Outdoor Cat
    3. Outdoor Only Cat
85. What is your total household income (if none, please explain): *
87. Would you like to have the cost covered through our FREE Outdoor Cat Program? It would receive Spay/Neuter, Rabies, FVRCP, Mircochip, and Mandatory Ear tip. *

    1. Yes, I agree to the Ear tip.
    2. No, I would like to pay to opt out for $50.

    *There is a $75 Fee for Non-Williamson County Residence. This does not include the fee to opt out of the Mandatory ear tip. 

89. If you would like more information about Ear-Tipping. Please see the link below:
    https://www.alleycat.org/community-cat-care/why-the-eartip-on-outdoor-cats/
91. The following are additional services you can elect to add on at the time of surgery: (Check all that apply)

    1. Microchip ($15)
    2. FVRCP ($15)
    3. FeLV/FIV Test ($20)
    4. 3 Month Flea & Tick Control ($15)
    5. Dewormer ($15)

    *Please note Rabies ($10) is required unless proof of current rabies is provide). 

92. Would you like to elect for any additional services to add on at the time of surgery: (Check all that apply)

    1. 3 Month Flea & Tick Control ($15)
    2. Dewormer ($15)
    3. FeLV/FIV Test ($20)
94. Any other information you would like for us to know?

96. Those who qualify may receive free vaccinations for their pet courtesy of Petco Love and the "Vaccinated & Loved" initiative to help end life-threatening pet diseases. 

98. By signing this document and registering for an appointment, you are giving our clinic consent to perform surgery on your pet. Our staff will always answer questions, address concerns and ensure that you have a high-quality experience, but you will not meet or speak with a veterinarian prior to or following the procedure. You will receive detailed medical records.*

    1. Acknowledged
100. 1. I understand that my cat(s) will receive spay or neuter, and rabies shot if I am unable to provide current proof.*

     Initial

102. 1. I understand that through for the FREE OUTDOOR CAT PROGRAM, these cat(s) will receive spay or neuter, microchip, rabies shot and an mandatory ear tip to the left ear. *

     Intitial

104. 2. I understand that the spay/neuter surgery carries a risk of complications, including death or in the case of spay surgery, potential termination of previously unknown pregnancy, to the animal(s). I hereby assume full responsibility and agree to waive any and all claims against Williamson County Government and Williamson County Animal Center ("WCAC") and their agents, officers, veterinarians, contractors, volunteers and employees in the event of escape, sickness, injury, complications or death of my animal(s) related to the spay/neuter surgery.*

     Initial

106. 3. I understand that animals may be groggy when released, and might need to be kept in an enclosed area for 24 hours after the procedure. I will make every attempt to observe the cat(s) for post-surgical complications including, but not limited to, incision infection and lack of appetite. In case of post-surgical problems, I agree to arrange the appropriate veterinary care at a full service facility at my own expense.*

     Initial 

108. 4. I agree to retrieve my cat(s) between 3pm and 5pm the same day as surgery. Cats not picked up the day of surgery may be considered abandoned and subject to citation.*

     Initial

110. 5. To the fullest extent permissible under applicable law, I agree to hold harmless, indemify, and release Williamson County Government and WCAC, their agents, officers, veterinarians, contractors, volunteers and employees, from any and all loss, injury, liability, damage, or cost I may incur or suffer due directly or indirectly from the spay/neuter surgery and removal and housing of this animal whether caused by Williamson County Government or WCAC, their officers, agents, veterinarians, volunteers or employees.*

     Initial

112. 6. I VOLUNTARILY SIGN THIS RELEASE AND WAIVER OF LIABILITY, and further agree that no oral representations, statements or inducements, apart from this written agreement have been made. I further attest that the below listed cat is my pet or in my custody of care, and that I have the authority as the owner or agent to authorize the removal and housing by WCAC.*

     Initial 

114. I HAVE READ AND UNDERSTAND THE ABOVE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT AND I AGREE TO BE LEGALLY BOUND BY ALL TERMS OF THIS AGREEMENT AND THAT IT IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY APPLICABLE LAW.*

     Signature of Owner or Agent:

115. Date: *

117. *Please be sure to check your spam/junk folder if you do not receive a response to your application within 2-3 business days.

Leave This Blank:


119. 1. Receive an email copy of this form.
120. Email address

     This field is not part of the form submission.

121. Submit

* indicates a required field