Instructions:  Please print out this page and fill in the requested information then mail to:

Long Beach Cats, 248 W. Park Ave., No. 255, Long Beach, NY 11561

INFORMATION ABOUT YOU:

1. Name:___________________________________________

2. Address:________________________________________

3. Phone #(s):_____________________________________

4. Email:__________________________________________

My involvement with the cats can be described as follows (circle as many as apply):

a. I am their caretaker (and provide food and/or shelter).

b. The cats live or roam on my property.

c. The cats live in my neighborhood but are not often on my property.

d. Other (explain):_____________________________________________

My financial involvement with a TNR project will be (circle one):

a. To donate(or raise funds to pay) $50 per cat.

b. To take a TNR training workshop and pay (or raise funds to donate) $25 per cat.

c. I will not assume any financial responsibility for the project.

INFORMATION ABOUT THE CATS:

a. Location of the cats (cross-streets or approximate address):

b. Estimated # of cats:______

c. Number of cats neutered:_______

d. Regular feeder: __ YES __ NO

e. Shelter: __ YES __NO

f.  COMMENTS: