Owner Surrender
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver’s License #
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Are you surrendering a stray pet or an owned pet?
Stray
Owned
Animal Name:
Species/Breed
Color/Markings
Age/ Date of Birth
Microchip # (If Applicable):
Is this animal spayed or neutered?
Yes
No
Unknown
Is the animal kid friendly?
Yes
No
Unknown
Is the animal pet friendly?
Yes
No
Unknown
Does your pet have a bite history?
Yes
No
Is your pet up to date on vaccinations?
Yes
No
Unknown
Any known health issues?
Please provide some information about your pet(s) and why you are surrendering them:
If you have access to the vaccination records, please submit them here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you understand that submitting this form does not guarantee we can and or will take your pet into care? We are foster based only so we require an approved foster available in order to help.
Yes
No
By signing below, I, the undersigned, acknowledge and agree to the following:I am the legal owner of the animal(s) being surrendered.I voluntarily and permanently relinquish all rights, ownership, and claims to the animal(s) listed in this form to Fur Eternity Rescue.I understand that upon surrender, Fur Eternity Rescue becomes the legal owner of the animal(s) and has full authority over all future decisions regarding care, placement, adoption, or humane euthanasia if necessary.I understand that I will not be entitled to any updates, visitation, or information regarding the animal(s) once surrendered.I release Fur Eternity Rescue, its board, volunteers, and affiliates from any liability or claims related to this surrender.
Submit
Should be Empty: