Form
Surrender Form
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.
Your animal's name AND age:
Are you the animal's owner, rescuer or foster?
What is the reason for surrendering your animal?
Is the animal spayed/neutered?
We require prove of current rabies, bordetella and DHPP vaccines. Please email us the vaccine records for your pet!
Is your dog aggressive toward other dogs or people or has he/she bitten anyone?
This form is not a guarantee that we will take your pet. We will need to find a suitable foster home first.
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: