Intake Application
We are currently at capacity. If you have a stray, abandoned or dumped animal that you would like to bring to the Haven, you must complete the form. We will call you when we have space available to bring the animal in. All animal intakes are by appointment only. All animals will be assessed at the intake appointment for intake approval. A minimum $30 intake fee is suggested to help with the care of the animal. We do not have a veterinarian on staff, so we do not take injured animals. You may also try to find space at other area shelters at www.adoptapet.com. We do not take owner surrenders. You must provide a photo ID at the intake appointment.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Date animal came into your care
*
-
Month
-
Day
Year
Date
Is this animal a
*
Please Select
Dog
Cat
How did the animal come to be in your possession? If found, please provide area it was found.
*
Number of animals
*
Weight or size of dog (small, medium, large)
If animal is a cat, are you able to pet and hold it?
Please Select
Yes
No
Approximate age
Breed
Please describe the animal(s), include information such as gender, color/markings, temperament, does it get along with your animals, etc.?
*
Does the animal show signs of aggression to people or other animals?
*
Please Select
Yes
No
If the animal injured, sick or in need of medical attention? Please provide details.
Please provide a photo of the animal(s)
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Other information you can provide about this animal(s).
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