Surrender Form
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
1. How many guinea pigs are you surrendering and what gender?
*
2. If female could they be pregnant
*
yes
no
3. Are their any medical issues? if yes please elaborate
*
4. I understand once surrendered, my guinea pigs will be under the care of Toowoomba Guinea Pig Rescue and I will end all ownership rights
*
Yes
No
5. Reason for surrendering
9. is the surrender
*
Emergant (1 week)
Urgent medical (1-3 days)
Non Urgent medical (3-5 days)
Is there anything else?
Submit
Should be Empty: