Barn Animal Surrender Application
NOTE: Completing this form does not guarantee we will accept this animal into our agency.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County?
*
Please Select
Geauga
Lake
Ashtabula
Portage
Cuyahoga
Trumbull
Mahoning
Summit
Other
Phone Number
*
Please enter a valid phone number.
Email- if you do not have email type in: intake@rescuevillage.org
*
example@example.com
Are you wanting to surrender a herd or flock of animals?
*
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?
Species?
*
Age(s)?
*
Male/Female? If multiple, how many of each?
*
If possible, please upload a photo of the animal(s)
Browse Files
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Reason for surrender?
*
What is the current housing situation for this animal/these animals? Give as much detail as possible:
*
Is this animal/are these animals healthy? If not, what health issues are you noticing?
*
Anything else you would like us to know about the barn animal(s) you are needing to surrender?
*
NOTE: Chickens that were purposely hatched and/or purchased from a chain store as chicks and then grew up to be roosters will be evaluated for intake on a case by case basis as we have very limited housing for roosters. Please note that if this is your situation you will most likely be given alternative resources for placement.
*
I understand
Not applicable, I am not surrendering a rooster/roosters.
I understand that I MUST have an intake appointment and that Rescue Village does not accept walk-in surrenders.
*
I understand
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 barn space allows.
Submit
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