Animal Surrender Form

Paw-Rump Rehab & Rescue (PRRR)
Animal Surrender Form
Please complete one section below for each animal being surrendered. If you are surrendering more than two animals, attach the "Additional Animal Surrender Form".
Number of Animals being Surrendered*
Animal #1 Name*
Animal #1 Species*
Animal #1 Breed*
Animal #1 Color*
Animal #1 Approximate Weight*
Animal #1 Age*
Animal #1 Gender*

MaleFemale
Animal #1 Spayed/Neutered?*

YesNo
Animal #1 Behavior Notes*
Animal #2 Name*
Animal #2 Species*
Animal #2 Breed*
Animal #2 Color*
Animal #2 Approximate Weight*
Animal #2 Age*
Animal #2 Gender*

MaleFemale
Animal #2 Spayed/Neutered?*

YesNo
Animal #2 Behavior Notes*
MAKE SURE TO COMPLETE THE ADDITIONAL ANIMAL SURRENDER FORM FOR ANIMALS OVER THE FIRST 2. THANKS.
I HAVE MORE THAN 2
Reason for Surrender of Animals*
By signing below, I confirm I am the legal owner of the animal(s) listed and have full authority to surrender them. I permanently relinquish all rights and understand I cannot reclaim the animal(s) without going through PRRR's adoption process.

I have disclosed all known health, behavior, and history details. I understand the animal may be humanely euthanized if severe medical or behavioral conditions make it unadoptable.

By signing this form, I consent to receive occasional emails from Paw-Rump Rehab & Rescue regarding updates, events, and marketing campaigns. I understand I can unsubscribe at any time.
Email*
example@example.com
Address*
City*
State Zip*
Surrenderer Name print*
Phone*
Signature*

Clear
Should be Empty:

Paw-Rump Rehab & Rescue (PRRR)

Animal Surrender Form