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

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Personal Information

* 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

Tell us about your pet

We are sorry you are in the difficult position of needing to surrender a pet. We are currently at full capacity, but you may add your pet to our waiting list. We may not respond, but we will review every application. Please consider researching other Dallas area rescues and shelters. You can also find temporary support, such as vet bill assistance and pet food pantries, by searching online.

Pet name

Pet Age

Approximate age or date of birth

Photo

Pet Characteristics

Which of the following describes your pet? Check all that apply to the best of your knowledge.

Good with kidsGood with dogsGood with catsGood with strangersBest aloneBest with buddyHas shown some non-playful aggression towards humans (biting, scratching, etc.)

Pet Medical Status

Select as many as apply, to the best of your knowledge.

MicrochippedSpayed / NeuteredVaccinations current / in progressOverweightOn medication / therapyOther medical conditions - please describe in Other Information below

Where did you get this pet?

Take Me Home Pet RescueOther rescue/shelterAdopted as strayCurrently strayFriend/relative/neighborBorn to other petBreeder / pet storeOther

Other information we should know about your pet

Helping Your Pet

Please tell us a little more about your situation.

Will you be able to foster this pet until adopted?

Our foster program covers most expenses. You would be asked to provide the pet a safe home and bring them to weekly Meet & Greet events. Please read over our foster home requirements (https://tmhpr.com/foster) before agreeing to foster. You will also be asked to complete a foster application and indicate this pet.

YesNo

If you have a specific deadline, such as a move date, please indicate it here.

How did you hear about Take Me Home Pet Rescue?

FacebookInstagramTikTokFlyerEventInternet SearchOther rescue/shelterFriend/neighbor/relativeOnline AdTV / RadioOther

Why are you surrendering this pet?

This is completely optional and has no impact on our decision, but it helps us understand what information and resources we need as a community to help end pet homelessness. Please check all that apply.

Not mine - strayNot mine - inheritedNot mine - abandoned by friend/relative/neighborDoesn't get along with other petsChange in behavior after change in circumstances (new baby, new home, etc)Cost of medical careCost of food/suppliesToo many pets in householdAllergiesOwner medical issuesUnable to commit time for proper careOwner pregnancyMoving into assisted livingMoving and pets are not allowedLandlord changed pet policyOther

Anything else you'd like to add?

Certification
By typing my name below as a form of electronic signature, I agree that this is the legally binding equivalent of my handwritten signature. I have read and agree to the information in this document. I certify that this information is truthful and accurate to the best of my knowledge.
If my pet is accepted for surrender,
I understand that by signing this agreement, I permanently surrender all rights to the animal and release Take Me Home Pet Rescue from any and all future claims.
I certify that I am the owner of this animal and have the authority to surrender it.

Signature Please use your mouse or finger (if on phone/tablet) to sign

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. Please note that some organizations have higher age requirements and may require applicants to be 18 or 21 years of age or older. Be sure to review the specific instructions and eligibility requirements for each application carefully before applying.

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Cat Surrender / Intake Request / Wait List

Personal Information

Tell us about your pet

Helping Your Pet