Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Date of Birth

* Month

* Day

* Year

General Animal Information

If you are trying to surrender a litter of puppies/kittens, one surrender form is enough. If you are trying to surrender multiple pets that are not apart of the same litter, a new form must be submitted per animal.

Name(s)

Type of animal(s)

DogCatReptileRodentLivestock

Breed and Physical Description

Please include their color(s) and any unique markings

Age Group

Baby (under 6 months)Young (6 months through 3 years)Adult (3 years through 7 years)Senior (7 years through 10 years)Super Senior (10+ years)

Exact Age

Size Group

Small (under 25 pounds)Medium (25.1 pounds through 50 pounds)Large (50.1 pounds through 70 pounds)X-Large (70.1+ pounds)

Exact Weight

In pounds

Are you filling out this application for a litter of puppies/kittens?

YesNo

Spayed/Neutered?

YesNo

Up to date on vaccines?

These vaccines include: Rabies (for both cats/dogs), Distempter and Parvo Booster (for dogs), and FVRCP (for cats).

YesNo

Have they been heartworm tested in the past SIX months?

YesNoI am surrendering a cat that does not require a heartworm test.

If they have been heartworm tested within the last six months, what was the result?

PositiveNegativeThis animal has not been heartworm tested in the last six months. I am surrendering a cat that does not require a heartworm test.

Are you able to submit medical records for this animal?

YesNo

Where does the animal mainly stay?

IndoorOutdoor

What other animals has this one interacted POSITIVELY with?

Select all the animals that apply

Female CatsMale CatsFemale DogsMale DogsReptilesRodentsLivestock

What other animals has this one interacted NEGATIVELY with?

Select all that apply

Female CatsMale CatsFemale DogsMale DogsReptilesRodentsLivestock

What kind of training does your animal have?

Select all that apply

Potty trained (outside for dogs, litter for cats)Leash training Obedience training (Sit, Down, Stay, etc.,)Crate trainingNo training of any kindOther

Please elaborate on the type of training your animal has received.

Please fill this out if you are surrendering a dog only

Has your animal been around babies and young children?

Young children are considered individuals younger than 12

YesNo

What is the ideal foster or adoptive home you feel would be best for this animal?

Please describe their housing preferences

Examples: No Cats? No Dogs? Small Dogs Only? Big Dogs Only? No Kids? Kids ok? Etc.,

Surrender Information

Why are you surrendering this animal?

Could we provide anything to you that would allow you to keep the animal?

Typical answers could include, but are not limited to, vet care and supplies like food, crate, toys, etc.

How long have you had the animal?

Less than 6 months6 months - 1 year1 year - 3 years 3 years - 6 years6 years - 10 years10+ years

Agreements and Policies

I understand that this is a surrender application meaning there is no guarantee Unforgettable Paws will accept my animal(s) to be apart of their rescue.

YesNo

I understand if Unforgettable Paws Animal Rescue approves this application, I must relinquish all ownership rights to the rescue.

YesNo

I understand that upon surrendering my animal to Unforgettable Paws, I will have no more than three days to get the animal back.

YesNo

I understand that if I want the animal back (no more than three days post approval of my application), I must prove that my situation has changed to allow me to care for this animal going forward.

YesNo

I understand that Unforgettable Paws does not discriminate against aggressive animals or animals needing additional medical care. Because of this, I have been completely truthful in my responses of this application.

YesNo

I understand that Unforgettable Paws Animal Rescue may require an evaluation of the animal prior to approving my application.

YesNo

I agree to submit any and all vet records as soon as possible if requested by the animal rescue.

YesNo

I understand after 3 days of surrendering my animal, I am no longer unable to re-gain ownership rights of this animal (typically through adoption) by any means.

YesNo

I understand that until this application is approved, Unforgettable Paws Animal Rescue has no responsibility for this animal.

YesNo

I understand that by surrendering an animal to Unforgettable Paws I am no longer eligible to adopt from them in the future.

YesNo

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.

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Owner Surrender Application

Personal Information

General Animal Information

Medical Information

Animal Profile

Surrender Information

Agreements and Policies