Clone of Lost Pet Form

1
Date Submitted* This field is required.
Date
Month
Day
Year
2
1
2
3
4
5
6
7
8
9
10
11
12
Hour
20
00
10
20
30
40
50
Minutes
PM
AM
PM
2
Date Found* This field is required.
Date
Month
Day
Year
3
Location Found (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
Gender* This field is required.
Male
Female
Gender unknown
6
Color(s) and distinguishing markings* This field is required.
7
Estimated Age of Pet* This field is required.
Young
Adult
Senior
Unknown
8
Size of Pet* This field is required.
Small (0-20 lbs)
Medium (25-50 lbs)
Large (Over 50 lbs)
9
Pet Is (Check all that Apply):* This field is required.
Wearing collar or harness
Wearing ID tags
Microchipped
Has not yet been scanned for a microchip
Banded (bird)
Tagged with ID (livestock)
10
Contact Name* This field is required.This information is for LTBHS records, only. It will not be displayed on the public Lost/Found Boards.
11
Contact Phone
12
Contact Email* This field is required.
13
Picture of Pet(s)* This field is required.Providing a clear picture will greatly increase the chances that you will be contacted if a Lost Dog Report matching your Found Dog Report is submitted to the shelter. Reports submitted without a photo will not be shared on the Lost & Found Website.
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Select files to upload
Max. file size: 10.0MB
Cancelof
14
In the event LTBHS locates an individual who has a lost pet matching the description of your found 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
15
Privacy Notice* This field is required.Please be informed that by requesting that a message regarding this found pet be posted publicly, you are giving your consent to make certain private information available for public viewing. 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 reunification of your found 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: