Wellington Humane Society
Phone: 620-440-4375
Email: info@wellingtonhumanesociety.org

Owner Surrender Form


Fill out the form below. Please complete all sections of it.

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Your Personal Information

Pet Information

Please fill out the following information honestly to assist us in making a suitable match for your surrendered pet.
An estimate is fine.
Ex: Lab mix, large, 50 pounds, black with white belly
Medical could be allergies, impaired abilities, on-going treatment of an issue, etc...
What routine is your pet used to such as being outside, inside, or kenneled for parts of the day, etc..
Such as on a walk or at a park.
Such as "sit, stay, lay down, shake".
Ex. Chewing, excessive barking, separation anxiety, etc...

You can save your current application progress and come back later.
Save Progress