Form
Surrender Form
After filling out the surrender form, please fill out the biography form so we can learn more about your animal. Send us some pictures of your animal please. Filling out this form is not a guarantee that LPR will take your animal.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
1. What kind of animal? Dog, Cat?
2. What Breed
3. Gender
4. Your animal's name AND age:
5. Are you the animal's owner, rescuer or foster?
6. What is the reason for surrendering your animal?
7. Is the animal spayed/neutered?
8. We require prove of current Rabies, Bordetella and DHPP vaccines. Please email us the vaccine records for your pet!
9. Is your dog aggressive toward other dogs or people or has he/she bitten anyone?
10. This form is not a guarantee that we will take your pet. We will need to find a suitable foster home first.
11. I certify that I am the guardian of this animal and that I am legally entitled to transfer ownership to Lars's Pawsome Rescue. I agree that Lars's Pawsome Rescue will do everything in its power to ensure a good home for the duration of this animal’s life. I permanently and irrevocably transfer ownership of this animal, with all rights, to Lars’s Pawsome Rescue.
Submit
Should be Empty: