Surrender Form
Please fill this form out thoroughly and honestly. Riverview Rescues doesn't shy away from difficult animals. The more honest you are, the better chance your animal has at proper placement and their future. Thanks!
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date
-
Month
-
Day
Year
Date
What kind of animal are you surrendering?
Cat
Dog
What is the name of your animal?
Age, Breed and Weight of Animal.
Is your animal spayed or neutered?
Has your animal ever had a litter? If so, how many babies were born. Any complications with the litter?
Is your animal up to date on shots? If yes, specify your vet information.
How is your animal with people?
How is your animal with kids?
Has your animal ever bitten someone?
How is your animal with dogs?
If you're surrendering a dog, How is the initial meeting with other dogs and what does your dog do?
How is your animal with cats?
Does your animal have a prey drive?
How long have you owned your animal?
How much exercise PER day is your dog getting? Please be honest.
Why are you surrendering your animal? What has led you to this decision?
Have you consulted a trainer for any behavioural issues with your dog?
Do you understand there is a surrender fee for animals? This helps with vetting, training and costs associated with caring for the animals. For Riverview alumni, the fee is waved.
Please include as many details as possible for the animal you're surrendering.
Do you understand that surrendering an animal revokes all rights you had to your animal and the animal is now the property of Riverview Rescues ?
Yes
No
Signature
Clear
Submit
Should be Empty: