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.
Have you tried to reach out to any other rescues?*

YesNo
Is this animal male or female?*

MaleFemale
If needing to surrender multiple animals, please list all sexes.*
Example: 1 male, 2 females
Is this animal spayed or neutered? *

YesNoUnsure
Has this animal received vaccinations?*

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
Does this animal appear to be sick or injured?*

YesNoUnsure
Has this animal been around other animals?*

DogsCatsOthersNoneUnsure
Has this animal interacted positively with any of the following?*

StrangersMenWomenChildrenUnsure
Has this animal interacted negatively with any of the following?*

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.
Do they have someone to feed, water, and care for them, at least temporarily?*

YesNo
Are you and your family safe with this animal where they are?*

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