Pet/ Stray Surrender Form
Pet/Stray Surrender Information. We understand that surrendering a pet or asking for help with a stray is often a difficult decision. Our goal is to assist as many animals as possible while ensuring every animal in our care receives the time, attention, and medical care they deserve.Please note that submitting this surrender request does not guarantee placement or acceptance into our program. Every request is reviewed individually, and acceptance depends on factors such as available foster or kennel space, the animal’s temperament, medical needs, and our current resources.If we are able to offer placement and your surrender request is approved, a $75.00 service intake fee will be due at the time of surrender. This fee helps offset the initial costs of care, including veterinary examinations, vaccinations, deworming, flea/tick prevention, food, cleaning supplies, and other essential needs. While this fee does not cover the full cost of caring for an animal, it allows us to continue providing quality care and helping more pets find safe, loving homes.We appreciate your understanding and patience as we work to make the best decisions for every animal entrusted to our care.
Your Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Animal Type
*
Please Select
Dog
Cat
Other (please specify below)
If 'Other', please specify animal type
Animal's Name (if known)
Approximate Age
Sex
Male
Female
Unknown
Breed (if known)
Is the animal spayed/neutered?
Yes
No
Unknown
Describe the animal's temperament and any known health issues
Reason for Surrender
*
Upload a photo of the animal
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Surrender Request
Should be Empty: