Archie's Angels - Relinquishment Application

Relinquishment Application
At this time, Archie's Angels is unable to accept the following animals: aquatic turtles, green iguanas, and sulcata tortoises. We apologize for any inconvenience.

We are a foster-based organization which relies on the availability & experience of our fosters. As we want to ensure we are fully equipped to care for the animal, we cannot guarantee that your relinquishment request will be accepted.

If the request is denied, we will direct you toward other reputable resources to help you find placement for your animal.

There is a $50.00 relinquishment fee per animal. Any monetary donations go toward veterinary expenses, enclosure costs, supplies & food for animals within our foster program.

Please answer as accurately as possible to ensure proper placement. Each animal is placed into a home where they will be treated as that family's own.
Please confirm the following information.
Please read each line & check the accompanying box to confirm the following.*
Your Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address - Line 2

CityState / Province

Postal / Zip Code
Animal Information
Please tell us the animal's name & species.*

Animal NameAnimal Species
How old is the animal?*
Please list an approximation if you are uncertain of an exact birthdate.
What is the animal's sex?*

MaleFemaleUnknown
What size is the animal?*
Please be as accurate as possible.
Why are you interested in relinquishing this animal?*
Please describe any health concerns you have with this animal.*
Enter N/A if not applicable.
Where did you obtain this animal?*
If you obtained this animal from an organization, shelter, or rescue, what was the name of that establishment?*
How long has this animal been in your care?*
What food is this animal currently eating?*

MealwormsSuperwormsWaxwormsNutriGrubsCalciGrubsHornwormsFruit FliesDubia RoachesHissing CockroachesEarthwormsRed WigglersBloodwormsMysis ShrimpFishMice (Frozen / Thawed)Mice (Live)Rats (Frozen / Thawed)Rats (Live)GreensFruitVegetablesOther
Has the animal received veterinary care?*

YesNo
If yes, what is the name of the veterinarian & hospital/clinic?*
Enter N/A if not applicable.
Has the animal bitten or injured anyone before?*

YesNo
How comfortable is this animal when being handled?*

1

2

3

4

5

1 is Not comfortable, 5 is Very comfortable
Please include any photos you have of this animal.*

If the animal has any injuries/wounds, please include that in your selected photos.
Cancelof
Animal Living Arrangements
What size enclosure is the animal housed in?*
Include dimensions/measurements.
Describe the heat source you currently provided for this animal.*
Include brand, wattage, type, and dome/fixture.
Describe the UVB source you currently provided for this animal.*
Include brand, wattage, type, and dome/fixture.
Are there other reptiles housed within the same room as this animal?*

YesNo
Is this animal currently housed with other animals in the same enclosure?*

YesNo
Please include any photos of the enclosure this animal is currently housed in.*

Please include any light/heating fixtures in your photos.
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Are you intending on donating an enclosure & supplies upon relinquishment of this animal?*

YesNo
If yes, please describe what you are intending to donate here.*
Enter N/A if not applicable.
Conclusion
If you have a time-sensitive deadline to relinquish this animal, please indicate that here.*
Enter N/A if not applicable.
What else should we know about this animal? Please add anything you would like us to consider for your application here.*
Enter N/A if not applicable.
Acknowledgement & Understanding
Please read each line & check the accompanying box to certify your understanding.*
- I am 18 years or older.
- I am the legal owner of this animal.
- I confirm that this animal is not any of the following: aquatic turtle, green iguana, or sulcata tortoise.
- I understand there is a relinquishment fee of $50.00. This fee aids in covering veterinary expenses, food, and supplies.
- I understand that Archie's Angels, Inc. is located in Wisconsin & I will need to coordinate drop-off with a volunteer if I am approved for relinquishment.
- I understand that Archie's Angels, Inc. is a foster-based organization and intake solely depends on available foster homes at that time.
- I understand that, if approved, my application is only valid for 30 days. I can speak with an Archie's Angels, Inc. representative to discuss an adoption timeframe where applicable.
- I understand that this application is for office use. This application does not guarantee me the relinquishment of the animal I have listed.
- If approved, I understand that shipping an animal is not an option. I will need to coordinate drop-off with a volunteer.
- I understand that Archie's Angels, Inc. will make appropriate decisions for this animal, including but not limited to: placement within a foster home, including the animal within an educational program or accredited educational facility, adoption, and/or humane euthanasia.
- Archie's Angels is a volunteer-based organization. I understand that my application will be tended to as soon as the board is able.
- The information I have provided is true & correct to the best of my knowledge. If found untrue, my application will be denied.
Checking this circle confirms that I have fully read and understand the above bullet points.*

I confirm that the above is all true and correct. I fully understand what is written above.
Please verify that you are human.*
Today's Date

MonthDayYear
Signature*

Clear
How did you hear about us? Select all that apply.*

FacebookInstagramTikTokPetFinderAmazonSmileWebsiteWorkSchoolPet StoreVeterinary Hospital / ClinicFriend / FamilyArchie's Angels VolunteerEventOther
Should be Empty:

Relinquishment Application

Please confirm the following information.

Your Information

Animal Information

Animal Living Arrangements

Conclusion

Acknowledgement & Understanding