Herp Habitat Surrender Form

PLEASE NOTE: Herp Habitat Rescue & Sacntuary is currently ONLY ACCEPTING ball pythons, snakes under 6ft long, and leopard geckos. We do not accept most other species, including: bearded dragons, crested geckos, tortoises, aquatic turtles, and amphibians. If you're unsure, feel free to reach out and ask. Herp Habitat is not a licensed wildlife sanctuary and we do not take native species.

Sick animals are assessed and accepted or denied on a case-by-case basis. We are not a rehabilitation center. For urgent medical needs please seek a qualified veterinarian.

If you are unsure or have questions, please reach out to info@herphabitat.org.
Your Basic Info
Please enter your legal name

First NameLast Name
I am 18 years of age or older
I am 18 years of age or older (If under 18 years old a parent or legal guardian needs to handle the surrender)
Your email address
Your phone number
Format: (000) 000-0000.
How would you like us to reach out about the next step?
What city are you located in? (we only accept surrenders in and around Milwaukee, WI)
Animal Surrender Info
Type of animal
Morph (if applicable)
Animal's name
Sex
Age
How long have you had them?
Where did you get them from?
When is the last time that they ate?
Please describe their diet and any supplements they get
What supplements do they get
What size enclosure were they kept in
What substrate/bedding were they on
Were they cohabitated with other animals?
Photos of the animal (please provide recent photos)

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Health & history

Please answer truthfully to the best of your knowledge. Withholding or misrepresenting health information may result in your surrender being declined. For immediate health concerns, please seek a qualified veterinarian.
How urgent would you describe the situation?

I need this animal rehomed by the following date:
Are you surrendering due to their health concerns?
Have you sought veterinary care for this animal? If yes, please provide the vet clinic and outcome. If no, please explain why.
Health status (check all that apply)
Describe any current and/or past health concerns
Notes (behavior, likes, dislikes, etc.)
Reason for surrendering
Confirmation

Confirmation and surrender appointment info
We usually meetup in Greenfield, will that work?

Please list your preferred meeting place:
Would you like to donate the enclosure? (We do not always accept enclosures, it is case-by-case)
If we are full, would you like to be added to our waitlist? (We will notify you)
Surrender Fee
I confirm that I am the legal owner of the animal described in this surrender form and have the authority to surrender the animal to Herp Habitat Rescue & Sanctuary, Inc.
By signing this agreement, I, the undersigned, hereby voluntarily surrender the animal described above to Herp Habitat, Rescue & Sanctuary. I understand that by surrendering this animal, I am relinquishing all rights, ownership, and interest in the animal to Herp Habitat, Rescue & Sanctuary, and that this transfer is permanent.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Your Basic Info

Animal Surrender Info

Health & history

Confirmation