MISTY EYES ANIMAL CENTER
SURRENDER REQUEST - LITTERS (KITTENS/PUPPIES)
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
County
*
Type of Surrender Request
*
Owner Surrender
Found Stray
If the animals were found as strays, please list the DATE and LOCATION in which they were found:
If the animals were found as strays, where are you keeping them (indoors/outdoors):
Why are you surrendering these animals?
*
Species of Animals Being Surrendered
*
Cat
Dog
Is the mother being surrendered with the litter?
*
No
Yes
If the mother is being surrendered, please describe her and provide any information known about her:
Breed of the animals being surrendered:
*
Ex: Lab Mix, Domestic Short-haired Cat, Unknown
Age of pets being surrendered:
*
Estimate age if necessary.
Please list the number of animals in the litter, gender (if known) and colors:
*
Have these animals been spayed or neutered?
*
No
Yes
Unknown
Estimated weight or size of pets being surrendered:
*
Have any of the litter been vaccinated?
*
No
Yes
Unknown
Name and location of vet clinic where litter was last seen:
Are the pets microchipped?
*
No
Yes
Unknown
Are there any behavior concerns with the pets being surrendered?
*
Aggression toward people
Aggression toward dogs
Aggression toward cats
Destructive
Feral or Semi-Feral
Mis-use of litterbox
Not potty trained
Separation anxiety
NONE
If there are behavior concerns not listed above, please describe them:
Have the pets being surrendered been around children?
*
No
Yes
Unknown
If the animals have been around children, how did they interact with them?
If any of the pets being surrendered have medical concerns, please describe:
If the pets being surrendered are currently on any medications, please list them:
If the animals being surrendered have lived with other animals, please list the number and species and how they react to them:
What type/brand of food are the pets currently being fed?
*
Please provide any other information you feel will be helpful in finding this litter appropriate new homes:
Please upload up to 2 photos of the animals being surrendered.
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