Animal Surrender Form

There are many reasons that an individual may choose to surrender their animal. Badgerland Reptile Rescue understands that this is a difficult decision and does not judge anyone for making this choice.

If you find yourself needing to surrender your animal to our organization, please fill out the form below. We require a completed form for each individual animal. Badgerland Reptile Rescue appreciates you providing detailed information on the animal's history. Your answers will help our organization and the animal's possible future owner.

Badgerland Reptile Rescue will do its best to respond to each inquiry in a timely manner. Please remember that we are a volunteer-run organization with limited resources. We cannot promise to take in every animal that we are contacting regarding. In the event that we are unable to assist you with the surrender of your animal, we are happy to provide suggestions for rehoming.

If we are able to accept your animal for surrender to our organization, we do require you to transport the animal to Kenosha, Wisconsin (or another mutually agreed-upon location) on your scheduled appointment date.

Badgerland Reptile Rescue requires the animal's legal owner to fill out the surrender form and be involved in all discussions regarding surrender. We also require all individuals to be over 18 years old for surrender or adoption. Badgerland Reptile Rescue will request to see a copy of the individual's driver's license at the surrender appointment for identity verification purposes.

Our organization is unable to accept the following species: red-eared sliders, painted turtles, yellow-bellied sliders, other aquatic turtle species, and green iguanas.

Multiple submissions for the same animal will be deleted. We ask that you remain patient as we review your form, an individual from Badgerland Reptile Rescue will reach out to you if we are able to accept your animal.

I am the legal owner of this animal.*

YesNo

I am over 18 years old.*

YesNo

This animal is NOT any of the following species: red-eared slider, painted turtle, yellow-bellied slider, any other aquatic turtle species, or green iguana.*

YesNo

I understand that I will be required to bring the animal to Kenosha, Wisconsin (or another mutually agreed-upon location) for surrender, by appointment only. Badgerland Reptile Rescue will not pick up my animal.*

YesNo

Please enter your full legal name:*

First NameLast Name

If you go by another name on Facebook, please enter it here. (This is to help us match the inquiries we receive via our Facebook page)*

Enter N/A if not applicable

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Please enter a valid phone number.

Email:*

example@example.com

If you spoke to a volunteer or Board member of Badgerland Reptile Rescue regarding your animal, please list the name of the person you spoke with:*

Enter N/A if not applicable.

Animal's Name*

Animal's Species*

Animal's Age*

Estimates are okay!

Sex*

MaleFemaleI am not sure

Size of animal*

Please try to be as accurate as possible.

What is the reason that you are surrendering this animal to Badgerland Reptile Rescue?*

When did you get this animal?*

Month and year is fine if you cannot remember the exact date!

Where did you get this animal?*

What does this animal eat?*

What type and size of enclosure is this animal kept in?*

What type of heating equipment is used?*

Enter N/A if not applicable.

What type of lighting is used and how often is it replaced?*

Enter N/A if not applicable.

Please list any other animals housed in the same enclosure, even if they are not being surrendered.*

Enter N/A if not applicable.

Please list any other animals housed in the same room, even if they are not being surrendered.*

Enter N/A if not applicable.

Please list any veterinarians that this animal has seen.*

Enter N/A if not applicable.

Please list any health-related concerns that you have with this animal.*

Enter N/A if not applicable.

Please describe how often the animal has been handled.*

Enter N/A if not applicable.

If this animal has ever caused any bites and/or injuries, please list those below.*

Enter N/A if not applicable.

Please describe any behavior-related concerns that you have with this animal.*

Enter N/A if not applicable.

We do not require enclosures or equipment to be brought with your animal but we will take anything you want to bring. Front-opening and PVC enclosures are always appreciated and extra supplies (such as lighting equipment, etc) are often used in our foster program. If needed, we may sell any items that we do not use to help raise funds for our organization.

If you are able to donate the enclosure or supplies that you used for this animal, please list those items here. *

Enter N/A if not applicable.

We understand that sometimes individuals must urgently surrender their animal. If there is a time-sensitive deadline, please let us know below the circumstances and the date that you must surrender your animal by.*

Enter N/A if not applicable.

Please upload clear photos of your animal. We ask that you provide at least one photo directly showing the animal from close range and one photo showing the full animal - additional photos are always welcome.

If the animal has any injuries, make sure to provide clear photos of those.

Photo upload*

If there is ANYTHING else that we should be aware of with this animal, please list it below.*

Enter N/A if not applicable.

Please list any dates and times that you are available for a surrender appointment.*

We cannot guarantee that we can fulfill the appointment request for these times.

Please read and acknowledge the following statements.*

I understand that filling out this form does not guarantee that Badgerland Reptile Rescue will be able to take in my animal.I understand that multiple submissions for the same animal will be deleted.I understand that Badgerland Reptile Rescue will do its best to respond to each inquiry in a timely manner but it is a volunteer-run organization.I understand that if Badgerland Reptile Rescue is able to take in my animal, I will be required to transport it to Kenosha, Wisconsin (or another mutually agreed-upon location).I understand that all surrender intakes are by appointment only.I understand that Badgerland Reptile Rescue may request a surrender fee to assist with the care costs of this animal. If I choose to, I am welcome to provide an additional donation.I understand that Badgerland Reptile Rescue will make appropriate decisions regarding the health and care of my animal. This decisions include, but are not limited to, placement in the foster program, usage as an educational animal for the organization or another organization, adoption placement, veterinary treatment and/or humane euthanasia.All information provided on this form is correct, to the best of my knowledge.

As the legal owner, if my animal is accepted for intake, I am surrendering all claims and ownership of this animal to Badgerland Reptile Rescue.*

By signing this digital application, I understand that my digital signature is as binding as a physical signature.

Animal Surrender Form

Before proceeding, please confirm the following:

Your Information

Information on Your Animal