Surrender Form

Pride Animal Rescue Surrender Form

Pride Animal Rescue Surrender form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date

MonthDayYear
Date
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights to the animal. I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal, the animal may be transferred into the custody of an animal charity. I understand that once I relinquish the animal, the animal will not be available to be returned. I further certify that I have read and understand the terms of this Animal Surrender Form.
I certify that this animal has /has not scratched or bitten anyone in the last 10 days. Yes or no. Please explain
Is the Animal a dog or cat and name
Microchip Number
Breed and age
Male/Female
Reason for re homing
Vaccinated
Please list in as much depth likes and dislikes.
Bad behaviours
Good behaviours
Good with children
Good with people
Good with Dogs or cats, please state
Has your animal seen a vet recently
Have you seen a trainer or behavourist
Does your dog have a bite history with people or dogs
NoYes
Signature
Please note at Pride Animal Rescue we will require a full vet report. This surrender form does not gaurentee a rescue space with Pride Animal Rescue, however we will reviw your form and get back to you within 48 hours.
Type a question
Should be Empty:

Pride Animal Rescue Surrender Form