Owner Surrender

You can save your current form progress and come back later.

Save Progress

Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Pet Information

Please provide as much detail as possible about your pet. Please be sure to answer honestly as we rely on the input from the pet's owners to assist us with temporary and long term placement.

What type of pet is this:

CatKittenDogPuppyOther

What is your pet's name?

What is the sex of your pet?

FemaleFemale SpayedMaleMale NeuteredDon't know/Unsure

What is the breed of the pet?

What is the pet's current weight (or guess)?

What is the pet's current age?

How long have you had the pet?

Where did you get your pet?

Shelter/RescueStrayPurchased from BreederFamily MemberOther

Reason for Surrender

Please provide details to why you are looking to surrender your pet.

Does your pet have any existing medical issues?

Has your dog ever bitten a person?

YesNo

If your pet has a bite history, can you please elaborate. If not, type N/A.

Has your pet lived with any of the following (please check the boxes that apply):

Dog(s)Cat(s)Kid(s) infant - 7yrsKid(s) 7yrs - 12yrsKid(s) mature/teensNone of the above

Are there any animals that your pet would need a home without? Please explain why.

Does your pet display any unwanted or unacceptable behaviors? If so, please explain.

Is your pet house trained or litter box trained?

YesNoSomewhat

Is your pet crate trained (mostly for dogs)?

YesNo UnsureNot Applicable

How does your pet greet strangers/new faces? Please use detail.

How does your dog react when you pet them or approach them while they are eating food, playing with a toy, or chewing on a treat?

Describe your pet. Check all that apply:

Knows SitKnows StayEnjoys BathsClimbs FencesLikes to Play with ToysPlays FetchPulls on Leash on WalksBarks Incessantly Jumps on PeopleShy with StrangersEnjoys Car RidesGets Car SickEnjoys TreatsEnjoys Meeting New PeopleIs Afraid of Storms or FireworksHas Anxiety IssuesPlayfulAffectionateRough PlayerChewerScratches FurnitureGets into GarbageJumps up on CountersFence Jumper

Why are you looking to surrender your pet?

Please be as detailed as possible so that we can better assist you.

Does your

Timeline

Please let us know what your timeline for surrender looks like.

When are you hoping to have the pet in a foster home? (Ex: ASAP, in the next couple of days, in a few weeks, whenever you might have availability). Please describe the need if immediate.

Please provide a photo of your pet.

Photos often speak louder than words when trying to find a foster home available for your pet.

What is the name of the veterinarian office that your pet last received care from?

Please include Veterinary Name and Phone Number and when the pet was last seen (a month ago, year ago, more than a year, never seen a vet).

Is your pet currently taking prevention (hearwtorm and/or flea)?

HeartwormFleaNot Currently on Prevention

Is your pet microchipped?

YesNoNot Sure

Please provide any additional information that could be helpful for us to know about your pet.

Please describe what you feel would be the best forever home environment (no other dogs, someone home more often than not, a fenced yard, etc).

By clicking SUBMIT I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are listed above. I certify that no other person has a right of property to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned. All statements given here are complete, accurate and true. I have answered all questions thoroughly and honestly. I have not misconstrued or answered deceitfully in any way.

Completing this form does not guarantee a foster home within the rescue. A representative of Furever Tails Animal Rescue will be in contact with you in regards to your request.

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

You can save your current form progress and come back later.

Save Progress