Owner Surrender Form
Rabbits, Guinea Pigs, Reptiles and other Small Animals
Your Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
City
State / Province
Postal / Zip Code
Diane’s Pet Rescue has generously agreed to assist you in placing your pet in a new home. The terms of this agreement are as follows: Once the pet is surrendered to our rescue, you're giving up all rights to this pet. If for any reason Diane’s decides to no longer assist you in placing your pet, you will take the animal back into your possession within 24 hours of being notified.
(Initial)
Signature
What is this pet?
Guinea Pig
Gerbil
Rabbit
Hamster
Snake
Mouse
Rat
Lizard
Ferret
Other
What breed is the pet?
*
What is the pet's name?
*
What is the pet's age?
*
Does your pet like people?
*
Loves Everyone
Likes Women
Likes Children
Not Socialized
Likes Men
Other
Does the pet have any medical or behavior concerns? if so please describe in detail.
*
Please tell potential adopters some great qualities about your pet and what the ideal home would be like.
*
Where did you acquire/adopt this pet from?
*
How long have you had this pet?
*
What is the reason you are surrendering your pet?
*
Please take a few good quality, well-lit photographs of the pet's supplies and enclosure then upload to our email diane@ddpets.com with your name and the animal's name in the subject of the email. If you have any videos of the pet please upload one below or send us the link to them on youtube.
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