Animal Surrender Form
By signing (submitting) this form, I state that I am at least 18 years of age, and that I am the owner of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as "the animal." To my knowledge, no other person has any right to this animal. I hereby surrender all rights to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned to me. I have read and understand the terms of this Animal Surrender Form.
Owner Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Animal Information
Animal Type (dog/cat, etc.)
*
Name
*
Age
*
Sex
*
Color
*
Weight/Size
*
Spay or Neutered?
*
Indoor/Outdoor
*
Years Owned
*
Previous Owner (if any)
Last Vet Visit?
*
Put None if animal has never been to the vet
Current Vet
*
Put None if you do not use a vet
Please describe in detail why you are surrendering your pet?
*
Upload pictures/vet records of animal
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Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
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