Rehoming Assistance Agreement
Type of Animal That you need to rehome:
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Dog
Cat
Dog or Cat Breed/s:
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Approximate weight of animal
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Approximate Age of Animal
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Male or Female
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Male
Female
Is the animal Spayed or Neutered?
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Yes
No
Do you have records showing the animal is up to date on vaccines (Rabies, FVRCP, DHPP)
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Yes
No
Does the animal have a microchip and if yes please provide number:
Animals Name
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Why do you need to rehome your pet?
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Are you able to foster your pet until a new home can be found?
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Tell us about your pet: (personality, what type of home would your pet prefer, etc)
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Please upload you pets vaccine records if available
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Please upload a photo of your Pet
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Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
By clicking submit you agree to the following (Please place initials after each statement:
All the information you have provided is accurate to the best of your knowledge.
You are the rightful owner of the animal and are legally entitled to transfer ownership to Pet Assistance League of Northern California.
All animals need to be spayed or neutered, and up to date on veterinary care including Microchip, vaccination, and a negative Heart Worm Test.
If Pet Assistance League assists you in getting any of the above Veterinary care, and you decide not to adopt the animal out through Pet Assistance League, you will reimburse all medical costs back to Pet Assistance League.
To your knowledge this animal does not have a bite history of any kind
Submit
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