Herp Habitat Surrender Form

If you have more than one animal that you would like to surrender, please fill out and submit a surrender form for each animal. If you are looking to surrender many animals or a whole collection, please email us or reach out directly so that we can discuss the best course of action.
Your Basic Info
Please enter your legal name*

First NameLast Name
I am 18 years of age or older*

YesNo
I am 18 years of age or older (If under 18 years old you must get the name and signature of a parent or legal guardian)*

Yes
Your Email address*
example@example.com
Your phone number*
Please enter a valid phone number.
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
What do they eat*
What supplements do they get*
Was UVB provided? If so what kind of bulb
What size enclosure were they kept in
Cold side temperature
Hot side temperature
What substrate/bedding were they on
Were they cohabitated with other animals?*
Photos of animal

Cancelof
Health & history

Please answer truthfully to the best of your knowledge. We do accept sick animals, and in many cases, they are prioritized on our waitlist. However, we may need to pause sick surrenders if we lack the resources to provide proper care. Withholding or misrepresenting health information may result in your surrender being declined.
Health status (check all that apply)*

Appears healthy, eating, and activeNot eating or losing weightLow energyStuck shedMetabolic bone diseaseVisible minor injury (e.g., scratch, missing nail, healed past injury)Visible major injury (e.g., broken bones, necrotic tissue, noticeable swelling)AggressionRespiratory concerns (e.g., wheezing, bubbles from nose/mouth)Other
Describe any current and/or past health concerns
Notes (behavior, likes, dislikes, etc.)
Reason for surrendering
Confirmation

Confirmation and surrender appointment info
What city do you live in? (This helps us set up the surrender drop off appointment)*
Are you surrendering with or without their enclosure?*

With enclosureWithout enclosureUnsure
How would you like us to reach out about the next step?*

TextEmail
Would you like to make a donation to support your animal’s care and help us continue our rescue work? (OPTIONAL)

Yes, I would like to make a donation
*After submitting this form you will be redirected to the donation page of our website.
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.*

Agree
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*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Your Basic Info

Animal Surrender Info

Health & history

Confirmation