Animal Surrender/Intake Request

Camrose Animal Alliance Rescue Society
Animal Surrender form
If you need to rehome your cat, kittens or a stray animal that you have found, please complete and submit this form.
Your Name*
Your Email*
Your Phone*
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What animal(s) do you want to surrender to us?
Please provide D.O.B., breed if known.
How many animals in total? Please specify number of adults and number of kittens or puppies.
Is this animal a stray that you have found?
If Yes, please give details including where it was found, how long you had seen it around etc
If yes, do you have any idea who the owner may be? If so, please give details and we will try to contact them. (Your name will be kept confidential)
If No, please advise animal's name and age
Does this animal belong to you?

Yes - it is my animal and I have sole ownershipYes but I co-own with someone else (we will require signatures from both parties)No - it is not my animal but I have the owners authority to surrender it (Owner's signature will be required or proof of Power of Attorney
Things to know:

Is good with young childrenIs good with catsIs good with dogsKenneled trainedleashed trainedknown allergiesGuarding or resource issuesSome basic trainingHouse trained/litter trained
Has your animal had any vaccinations, has it been altered (spayed or neutered)? If so, please describe. (Please mark as N/A for a stray)
Please List any behaviors that could affect the type of foster home we place the animal in( ie. Resource guarding, nipping, food aggression, separation anxiety)
What is your reason for surrendering? Please give as many details as possible.
When we take animals in, we keep them in our home or a foster home with a family and (possibly) other pets. We incur the cost of their care and vetting while they are with us. The cost for this is partially funded by our adoption fees, but this typically does not cover all of our expenses during the year. Please consider supporting our fundraisers throughout the year which help us to be able to continue to help them. Please follow our Facebook page and tell your friends and family!
Amount of donation offered to help us cover the cost of vetting/caring for this dog? (This is voluntary and not obligatory)
Will you be providing any of your animals current items

YesNo
Should be Empty:

Camrose Animal Alliance Rescue Society

Animal Surrender form