Surrender Form

"We are committed to helping people find homes for their pets because we care about our community and love animals."
Surrender Form

Please complete the information below as completely and accurately as possible.
Getting started:
- This form can be completed and submitted online or completed and printed off to be emailed
- If you have printed off the form, please email to info@muskokaanimalrescue.com
- We may ask you to care for your pet until a home is found, or until a foster becomes available
- If you find another home for your pet, please contact us as soon as possible!
- We are 100% volunteer managed and staffed so your patience is appreciated
- Surrender fees will apply and are non-refundable
All of the information on this form is collected in confidence and will be stored in compliance with best practices for keeping confidential data.
Contact Information:
Name: *

First Name Last Name

Residential Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mailing Address (if different than residential)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
E-mail *
Animal Information:

In order for Muskoka Animal Rescue to best understand the animal and find them a suitable home, please complete this information to the best of your ability. We appreciate your honesty.

Please fill in one form per animal. If surrendering more than one animal, on subsequent forms just include your name and the pet's information.
Pet's Name
Type of Animal
Breed
Colour
Gender
Micro-chip # (If Applicable)
Spayed/Neutered?

Yes No
Approximate Age
Hair Length
Approx. Size/Weight
House Trained?

Yes No
Where did you get this pet?
How long have your had this pet?
Why do you need to find a new home for this animal(s)?
Vet Name
Vet Clinic
Vaccination History - Date of last vaccinations and when they are due again?
Date of last flea and/or heartworm preventative
Please tell us about any past and current health issues, injuries, special needs, etc.
Food (brand)
Favourite treats, toys, etc.
Are you also providing any of the animals food, toys, treats, etc

Yes No
If yes, please provide details
The animals currently lives with (click all that apply)

Men Women Children Infants Teenagers Dogs Cats Other
If other, please describe
How would you describe your household?

Quiet Average Active
How would you describe the energy level of the animal?

Low Medium High Very High
How would you describe the personality of the animal?

Wallflower Occasional Friend Great Companion Social Butterfly Party Animal
Has the animal ever run away?

Yes No
If the animal is a dog, is it good off-leash?

Yes No
Animal Behaviour Information:
How is the animal with children?

Playful Calm/ignores Timid/Frightened Aggressive No Experience
How is the animal with strangers?

Playful Calm/ignores Timid/Frightened Aggressive No Experience
How is the animal with dogs?

Playful Calm/ignores Timid/Frightened Aggressive No Experience
How is the animal with cats?

Playful Calm/ignores Timid/Frightened Aggressive No Experience
How is the animal with livestock?

Playful Calm/ignores Timid/Frightened Aggressive No Experience
How has the animal been housed? (Inside, outside, both - please describe)
How is the animal confined when inside/outside? (run of the house, crate, tie out, yard, kennel, other)
Has the animal ever bitten a person or other animal?

Yes No
If yes, please describe the incident here
What are the animal's best qualities?
What are the biggest challenges for this animals?
What type of home environment would be the best fit for this animal?
Please explain any behavioural issues this pet is facing?
If there are behavioural issues, what have you done to try to rectify these challenges? What worked? What did not?
Should be Empty:

"We are committed to helping people find homes for their pets because we care about our community and love animals."

Surrender Form

Contact Information: