Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.
Date:
Alternate phone:
Animal's Name:
Animal Sex:
Breed/Type
To your knowledge has this animal bitten, or shown potential to bite, in the past:
If yes to the above question, please describe the incident
Driver's License Number and/or Vehicle Plate Number:
Spayed/Neutered:
Animal weight
How long have you had the animal?
Reason for Surrender:
Animals D.O.B./Current Age:
Animal up to date on vaccines
Is Animal up to date on heartworm testing and prevention? If yes, list last test date and type of prevention.
When left alone my dog: (Check all that apply)
My dog is afraid of: (Check all that apply)
If anything is checked above, please describe the behavior they exhibit when in these situations.
Additional commands:
Please describe animals overall demeanor:
My animal has the following health concerns:
Animal is currently on this medication:
Other helpful information about animal:
Name the 3 best qualities of your animal. Also name the 3 worst qualities of your animal:
My Dog knows the following basic Commands: (Check all that apply)
Transfer facility/organization:
ACFA License #:
Address:
City:
State:
Zip Code:
Transport/Volunteer Name:
Driver's License or Vehicle Plate Number:
* If animals are being received from out of state facilities, attach health certificate and rabies vaccination information **
If NTTSARS feels any transferred animal(s) is found to be a danger to the public or is in a state of extreme physical suffering, NTTSARS has the right to humanely euthanize.
NTTSARS will assume legal ownership of animal transferred upon arrival until the legal adoption of the animal.
● The above information reflects the animal in which I am surrendering to NTTSARS
● I understand that once I sign this form, the animal becomes legally owned by NTTSARS and I have forfeited any rights to the dog.
If this is not your animal please explain how it came to be in your possession. As well as date and address of where you found him/her.
Are you willing to pay a surrender fee to offset the expenses?
If available, please attach a photo and all veterinary or any other records for this pet?
Signature:
Representative of No Time To Spare Animal Rescue:
Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.