Surrender Form

Surrender Form

We require these questions to be completed with as much detail as necccessary so that we can determine if your pet would be successful in our foster program. If we feel your pet(s) are not suitable for our rescue, we have a large network of other organizations that we work with who we can reach out to about your pet(see question below). Please note that we are all regular working individuals like yourself with lives outside of the rescue. We will review your application in a timely manner but ask for your patience while doing so.
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reason for needing to surrender your pet?
What species is your pet(s)? If multiple, please list them all.
What is your pets(s) name?
When was your pet born/How old are they?
What breed is your pet?
How much does your pet weigh?
What sex is your pet? (ex. male, female, spayed female, neutered male).
What vet does your pet see regularly?
When was the last time they saw a vet?
Are they up to date on vaccines?
Does your pet have any medical conditions? Please list all that apply.
Does your pet have any behavioural concerns? Has a trainer and veterinarian been consulted? If yes, please list what trainer has evaluated your pet.
Does your pet have any dietary restrictions?
Is your pet on any medication? If yes, please list them:
How long have you had your pet? Where did you obtain your pet from?
Is your pet..? Please check all that apply.

Crate trained?House/litter Trained?Leash trained?Obedient?
Is your pet..? Check all that apply.

Good with kids?Good with small dogs?Good with large dogs?Good with cats?Good with meeting strangers?Good with being handled?Good with being picked up?
Does your pet have any guarding or protective behaviours?

YesNo
If yes, please explain: *Type n/a if this does not apply*
Has your pet ever bitten a human or another animal? If yes, please explain the situation:
Does your animal have separation anxiety?

YesNo
Does your pet need to be rehomed by a certain date? If yes, please list that date:
Please let us know any other important information about your pet. It is vital that you explain any and all behaviour and concerns that may limit what foster home your animal is placed in so that your pet is set up for success.
Are you willing to pay a surrender fee of $200 towards the care of your pet?

YesNo
If we cannot intake your pet, are you comfortable with us sharing your infomation with other rescues that we network with in hopes to find your pet placement with another organization?

YesNo
Please allow us up to 72 hours to review your request.

If this is an urgent request, you may send us an email to safepawsanimalrescue.ont@gmail.com marking your submission as URGENT. Please understand that urgency would be considered as an animal in current medical distress, homelessness or other.
Please attach photos and records here:

Cancelof
Should be Empty: