Clone of Kentucky SAVE Owner Surrender Request Form

Owner Surrender Request Form

*CLOSED FOR INTAKE AS OF 3/17/26
If you are needing to rehome or surrender your pet, please complete this request form as thoroughly as possible. Submissions will be reviewed by our rescue coordinator, who will follow up with any assistance, resources, or potential solutions we can offer.

Please note: Submitting this form does not guarantee placement in our program. As of March 17, 2026, we are currently closed to new intakes. However, we still encourage you to apply, and our team will do our best to provide guidance and support during this time.
Owner Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Animal Information
How did you come to have this animal?*
Why does this animal need to be surrendered?*
What does this animal look like?*
Please include possible breed(s), coloring/markings, size, weight, hair length, etc.
YesNo
MaleFemale
If needing to surrender multiple animals, please list all sexes.*
Example: 1 male, 2 females
YesNoUnsure
Yes, they are up-to-date on all vaccinationsThey have received vaccinations in the past, but they are not currently up-to-dateThey have never received vaccinationsUnsure
YesNoUnsure
DogsCatsOthersNoneUnsure
StrangersMenWomenChildrenUnsure
StrangersMenWomenChildrenUnsure
If this animal cannot be accepted into our program right away, are they in a safe space?*
"A safe space" means that the animal is contained and cannot get loose, stolen, or exposed to the elements.
YesNo
YesNo
Is there any other information you want to share with us?
Please share any photos you have of this animal.

Please include photos showing their face if at all possible.
Cancelof
If you have veterinary records for this animal, please provide them below.

Cancelof
Should be Empty:

Owner Surrender Request Form

Animal Information