Surrender Request

I understand that by completing and submitting this form I am providing information that Great River Rescue needs in order to determine if, how, and when they can assist, and their receipt of this application does not guarantee they will be able to accept these pets into the shelter.

How many pets are you looking to rehome?

How long have you had this pet or these pets?

How old is your pet?

What is your relationship to the pet?

What is the name of the pet?

What type of animal is your pet?

What breed(s) do you think the animal is/are?

Please provide an approximate weight of the animal.

Gender of animal(s).

Is your pet spayed/neutered?

Was this animal vaccinated within the last year?

Is this pet possibly or definitely pregnant, and, if so, how far long and when due?

When was the last time this pet saw a vet and why?

Please explain any health issues or conditions we need to be aware of. If there are none, please write "None"

How much time does this animal spend outside? (Other than dogs going outside to potty)

Any other details you would like to provide about this pet.

Great River Rescue is a private, nonprofit organization that depends on community support to continue our mission of saving companion animals. At the time of surrender, if you are able to donate financially towards the care of these pets, we suggest $25 per altered pet, and $50 per unaltered pet (Maximum $250 for a litter). Are you able to donate this? Please know that the ability or inability to donate financially to the cost of care does not influence whether or not Great River Rescue can accept the animal(s) on this Surrender Request.

Why are you wanting to surrender this pet? Please provide a detailed description.