Owner Surrender Form

Taylor County SPCA

Animal Surrender Form
I understand that by completing and signing this form I relenquish all rights and owernship of the animal detailed below to the Taylor County SPCA. I understand that by completing this form the Taylor County SPCA will find a safe and suitable home for this animal.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

City/TownCounty

Post Code
Email
example@example.com
Phone Number

Area CodePhone Number
Animals Name
Type of animal (i.e dog/cat/rabbit etc)
Breed of Animal
How long have you had this animal
Age of Animal
Where did you originally get the animal
Is the animal spayed/neutered?
Is the animal up to date with all vaccinations?
What veterinarian has the animal received vet care at?
Indoor OnlyOutdoor OnlyIndoor/OutdoorOther
Very ActiveSomewhat ActiveLazy
Family orientedAdults OnlyOnly PetA one person animal
catsdogschildrenOther
How does the animal handle men
How does the animal handle women
How does the animal handle children
How does the animal handle strangers
How does the animal handle cats
How does the animal handle dogs
Has this animal ever bitten aggressively?
Is the animal house broke (if dog) / litter box trained (if cat)
NeverOccasionallyAll the timeOutdoor animal
My animal has the following health concerns
My animal is on the following medication(s)
Please explain why you are looking to surrender your pet.
ANY ADDITIONAL COMMENTS OR HELPFUL INFORMATION:
Are you the legal owner of the animal?
If you answered no the previous question, please state your relationship to the legal owner
Signature
Date

MonthDayYear
Date
Should be Empty:

Taylor County SPCA