Intake Request Form 2024

Intake Request Form

Due to the nature of our shelter, we are unfortunately not able to guarantee a timeframe during which we can intake any particular animal. Our ability to intake animals depends on kennel space, financial resources, and veterinarian availability. This also means that we cannot guarantee placement for every animal. To find a solution for your animal as soon as possible, we recommend reaching out to other rescues in the area as well. Any further questions about our surrender process can be directed to our office: 306-374-7387.
Owner Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Animal Information
Animal Name*
Animal age *
Species*

DogCatRabbitGuinea PigOther
If other, what species?
Breed (if known)*
Please describe the pets general personality*
Please list any medical concerns*
Please list any behavioural concerns*
Is the pet spayed/neutuered*

YesNoUnsure
Are the pets age appropriate vaccinations up to date*

YesNoUnsure
Is the pet good with children?*

YesNoUnsure
Please provide any comments about the pet in regards to behaviour around children.*
Is the pet good with dogs?*

YesNoUnknown
Please provide any comments about the pet in regards to behaviour around dogs.*
Is the pet good with cats?*

YesNoUnknown
Please provide any comments about the pet in regards to behaviour around cats.*
What is your reason for surrender?*
How urgent is this request?*

Not urgentLess urgentUrgentEmergent
Please provide any additional comments you think it is important for us to know.*
Please provide at least one clear image of the pet you are wishing to surrender.*

Cancelof
Please submit any veterinary records you have for the animal.

Cancelof
Due to the nature of our shelter, we are unfortunately not able to guarantee a timeframe during which we can intake any particular animal. Our ability to intake animals depends on kennel space, financial resources, and veterinarian availability. This also means that we cannot guarantee placement for every animal. To find a solution for your animal as soon as possible, we recommend reaching out to other rescues in the area as well. Any further questions about our surrender process can be directed to our office: 306-374-7387.
Should be Empty:

Intake Request Form

Owner Information

Animal Information