Pet Surrender Request

We understand that, at times, life can throw unexpected circumstances at us.
If you find yourself unable to continue caring for your existing pet(s) and are interested in surrendering your pet(s) to our rescue, please fill out this form*.

*submitting a request does not guarantee we will be able to accept your pet(s) into our rescue.

Name

First Name

Last Name

Phone

(###)

###

####

If this is a cell phone, may we text you?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you the rightful owner of these animals?

Where did you get your animal(s) from?

How many animals, of which species are you wanting to surrendering? (#,species)

Please list all of the animals you are hoping to surrender:

(Name/Species/Age/whether or not they are spayed/neutered/vaccinations/etc)

Do you have spay/neuter/vaccination/medical records for these animals?

Are any of these animals microchipped?

Do any of these animals have a bite history that you are aware of? If yes, please explain:

Do any of these animals have medical issues that you are aware of? If yes, please list which animal and what condition:

Is your need/want to surrender these animals on an urgent time frame? Please explain:

Reason for wanting to surrender your animal(s):

Do you understand that surrendering your pet would legally relinquish ownership of them?

I understand that by submitting this form it does not guarantee that Purrfect Pawprints will accept my animals and that this is only a request.

I understand

Pet Surrender Request

Applications & Forms

Action

Contact
Donate
AppLy to foster