Surrender Request Form

NOTE: Currently we are NOT accepting DOG surrenders! We need to work through our 2024 waitlist of dogs before we can accept anymore. We encourage you to use the resources on our website to rehome your pet. If you need to surrender a CAT, please complete this form to be placed on our surrender wait list. Completing this form DOES NOT guarantee we will be able to take your pet.

Your Name

First and Last

Phone number

Can we text?

Email address

Address

City, State, Zip

Is this for a dog or cat?

Is this for a litter of puppies or kittens?

Animal's age or date of birth

If you don't know please give a rough estimate

Animal's breed

If you don't know just leave this field blank

Animal's color/s

Please attach a picture of the pet

Attach file

Drop files here

Has this pet been to a veterinarian?

If yes please list the vet and the last time they were there.

{name}

Any previous or current health issues that you know of?

Ex. some sneezing, runny eyes, goopy nose, etc. If yes please list them below. Obese/overweight is a health issue so please list that if your pet is.

{name}

How long have you owned this pet?

Where did you get the pet from?

If it was from a shelter/rescue/breeder or other such entity please list the name below as well.

Has your pet ever lived with or been around other animals?

If yes please list what type of animal/s below and how they acted with them.

{name}

Small children?

If yes, how did they react/behave?

{name}

Has this pet ever bitten a person or attempted to bite a person?

If yes please explain the situation.

{name}

When people come over how does the pet react?

select all that apply

Is this pet kept PRIMARILY indoors, outdoors or both?

Indoors
Outdoors
Both

Why are you looking to surrender your pet?

Please list any and all reasons as we know it can a combination of factors.

{name}

Deadline to be gone

Any other information about your pet that you would like to share? Any other information that you think a potential adopter would like to know about your pet?

{name}

Today's Date

Do not submit passwords through this form. Report malicious form

Alert