Barn Animal Surrender Application
Filling out an application does not guarantee that we will be able to accept this animal in to our shelters barn. This application is for barn animals such as horses, pigs, poultry, etc.
ATTN: We are not currently accepting surrender applications for roosters.
If you would like other resources to look into for roosters, please email us at: animalintake@rescuevillage.org
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County?
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Please Select
Geauga
Lake
Ashtabula
Portage
Cuyahoga
Trumbull
Mahoning
Summit
Other
Phone Number
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Please enter a valid phone number.
Email- if you do not have email type in: animalintake@rescuevillage.org
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example@example.com
Are you wanting to surrender a herd or flock of animals?
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No, only one animal to surrender
Yes, I have a herd or flock to surrender
If you have a herd/flock, how many animals do you need to surrender?
Where did you originally get this animal(s)?
Species?
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Age(s)?
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Male/Female? If multiple, how many of each?
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If possible, please upload a photo of the animal(s)
Browse Files
Drag and drop files here
Choose a file
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Reason for surrender?
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What is the current housing situation for this animal/these animals? Give as much detail as possible:
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Is this animal/are these animals healthy? If not, what health issues are you noticing?
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Anything else you would like us to know about the barn animal(s) you are needing to surrender?
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Chickens that were purchased or hatches who grew to be roosters will be redirected to other resources as we do not have the appropriate capacity to accept these owner surrenders. All other rooster situations will be evaluated on a case by case basis for waitlist placement.
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I understand
Not applicable, I am not surrendering male poultry.
I understand that Rescue Village has a service area and that if I am outside of that service area, I may be directed to other agencies for assistance depending on the situation, shelter capacity, waiting list length, etc.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
I understand that Rescue Village requests an intake fee of $50 to assist with cost of care.
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I understand and can provide the full fee.
I understand, but am asking for a reduced or waived fee.
I understand that I MUST have an intake appointment and that Rescue Village does not accept walk-in surrenders.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
I agree to check my email (including my junk/spam folder) regarding important communication from Rescue Village in regards to this surrender form.
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I understand and will check my email AND junk/spam folder.
I do not have email and will require a phone call instead.
I understand that Rescue Village is NOT an open admission shelter, meaning not every application is able to be accepted. I understand that Rescue Village is a limited admission, unlimited stay humane society and that my application can be denied for any reason.
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I understand
I do not understand and will seek other options. I understand that by selecting this option I will not be contacted.
I understand that if my application is accepted, I may be placed onto a waiting list as Rescue Village never euthanizes for space. I understand that this waiting list may be lengthy.
I understand
I am unable to wait and will seek out other options. I understand by selecting this option I will not be contacted.
Rescue Village reserves the right to decline surrender requests at its discretion. We kindly ask that all interactions with our staff remain respectful. Any use of inappropriate behavior may result in refusal of services.
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I understand
I do not agree and will seek other options
By signing below, I understand that Rescue Village has the right to deny my surrender form for any reason. I also understand that if my surrender form is accepted, there may be a lengthy wait because Rescue Village does NOT euthanize animals for time or space reasons and can only schedule in animals as species appropriate space allows.
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