Fuzzy Texan Owner Surrender Form Spanish

Surrendering my pet for adoption

Please give as as much detail on your pet so we can place your pet in the best home possible. We are a no-kill Animal Rescue and your pet will not be euthanized.
Date

Month Day Year
Date
Your Information *

First Name Last Name
If your an Animal Organization - Business Name
Phone number *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Email - You will be sent a copy
example@example.com
What Type of Surrender

Transfer from another rescue Medical case (i.e. Cleft Palate) Owner has passed away and I have authority to surrender Returned Adoption Owner Release
Why are you having to Re-home/Transfer your pet
Pet's name (if applicable)
Male/Female *

Male Female
Date of Birth if known if not please put estimated age *
Breed of your pet *
Color or pattern of your pet *
Is your pet spayed or neutered *

Yes No
Is your pet Microchipped *

Yes No
Chp Infromation, Click all that apply

Not Scanned Scanned - No Chip WIll need a chip Has a Chip - Please transfer as ownership is being transfered Do not know if there is a chip
First Picture of your pet

Browse Files

Cancel of
Second Picture of your pet

Browse Files

Cancel of
Third Picture of your pet

Browse Files

Cancel of
Complete Bio of your pet. This helps find the right home. *
Select all that apply *

Does not like kids Great with Kids Prefers older kids Likes Cats Does not like Cats Is dog selective Only gets along with opposite sex House trained Needs to be crated Does not need to be crated Has been trained to walk on leash Needs to learn to walk on leash Pulls when walking Likes to cuddle Sleeps in my bed Sleeps in a crate Outside dog Does not like to be ;picked up
Has your pet had all vaccines *

Yes No
If you had your pet since a puppy or kitten did hey receive 3 set of vaccines? This helps us place your pet in a safe foster home. Please list how many sets you know your pet has had. *
Has your pet had a Heart Worm test in the past year *

Yes No
Is your pet been on any prevention like Heart Worm or Flea prevention *

Yes No
Any medical notes Example: Due for vaccines, has not ever been on prevention etc. *
If your pet is due for any vaccines or tests are you able to pay for these?

Yes No
By signing this document you agree that all information provided in this document is true to the best of your knowledge. If you have surrendered your pet, you acknowledge you are the SOLE owner of this animal and agree to have given up all rights to your pet. By signing you understand that, we do not and will not guarantee you will be eligible to adopt your pet back after they reach adoptable age. You understand we are not an organization that raises pets for individuals and returns them when age appropriate. We do promise to place your pet in a new home that has passed our qualifications. *

I agree I do not agree
Signature *

Clear
Date *

Month Day Year
Date
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Surrendering my pet for adoption