Lost and found BAS form

1
Date Submitted* This field is required.
Date
Month
Day
Year
10
1
2
3
4
5
6
7
8
9
10
11
12
Hour
30
00
10
20
30
40
50
Minutes
PM
AM
PM
2
Date Lost/Found* This field is required.
Date
Month
Day
Year
3
Location Lost (major cross streets, city/county)* This field is required.
4
Type of Pet* This field is required.
Dog
Cat
Bird
Small Domestic (ferret, guinea pig,hamster, etc.)
Livestock
5
Breed of Pet
6
Pet's Name
7
Gender* This field is required.
Male
Female
Gender unknown
8
Color(s) and distinguishing markings* This field is required.
9
Age of Pet* This field is required.
Young
Adult
Senior
Unknown
10
Size of Pet* This field is required.
Small (0-20 lbs)
Medium (25-50 lbs)
Large (Over 50 lbs)
11
Pet Was (Check all that Apply):* This field is required.
Wearing collar or harness
Wearing ID tags
No collar
Microchipped
Not microchipped
Has not yet been scanned for a microchip
Banded (bird)
Tagged with ID (livestock)
12
Please include any additonal information you'd like to share about your pet:
13
Contact Name* This field is required.
14
Contact Phone
15
Contact Email* This field is required.
16
Picture of Pet - A good picture, preferably a full body of your pet is important for flyers and on our posts. PLEASE crop out any distractions such as people, children furniture and other pets* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
Cancelof
17
In the event LTBHS locates an individual who has a found pet matching the description of your lost pet, do you permit the organization to share your first name and phone number with the finder so they may contact you?* This field is required.
YESNO
18
Are you interested in learning more LTBHS' Lost Pet Recovery program?
YESNO
19
Privacy Notice* This field is required.Please be informed that by requesting that a message regarding your missing pet be posted publicly, you are giving your consent to make certain private information available for public viewing and are acknowledging that you are the owner. If you are not the owner, you acknowledge that you have permission/consent from the owner to submit this form. This would include photo, name, phone number and/or email address. Please be advised that Little Traverse Bay Humane Society is requesting this information in order to help facilitate the recovery of your missing pet by communicating your contact information to our Facebook page or website.
I consent to LTBHS using my information and photograph(s) for the purpose of assisting with finding my lost pet(s).
Should be Empty: