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 $35.00 relinquishment fee per animal if the animal does not come with supplies. If the enclosure & supplies are relinquished with the animal, the $35.00 fee is waived. 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.
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?*
Where did you obtain this animal?*
How long has this animal been within 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.
Please describe any health concerns you have with this animal.*
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.
Is this animal currently housed with other animals in the same enclosure?*

YesNo
Are there other reptiles housed within the same room as this animal?*

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

Please include any light/heating fixtures in your photos.
Cancelof
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.
How did you hear about us? Select all that apply.*

FacebookInstagramTikTokPetFinderAmazonSmileWebsiteWorkSchoolPet StoreVeterinary Hospital / ClinicFriend / FamilyArchie's Angels VolunteerEventOther
Acknowledgement & Understanding
Please read each line & check the accompanying box to certify your understanding.*
Please verify that you are human.*
Signature*

Clear
Today's Date

MonthDayYear
Should be Empty:

Relinquishment Application

Please confirm the following information.

Your Information

Animal Information

Animal Living Arrangements

Conclusion

Acknowledgement & Understanding