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

Please review and sign below agreeing to the statements.

● The information given applies to the animal(s) in which I am surrendering to NTTSARS.

YesNo

● I understand that upon the animal(s) arrival, NTTSARS will assume legal ownership of the animal(s) until its legal adoption. I acknowledge that by signing this form, I transfer all rights to the animal(s) to NTTSARS, forfeiting any claims or ownership.

YesNo

● I understand If NTTSARS feels any animal(s) found to be a danger to the public or is in a state of extreme physical suffering, NTTSARS has the right to humanely euthanize.

YesNo

Signature of Transferring Agency Representative:

Animal Information - Having updated medical information and a Health Certificate is imperative to us being able to receive transferred animals at the rescue. We will not receive animals without the following information.

Please give information and dates of medical on "each" animal being transferred.

Please list:
Animal(s) name
D.O.B./Current Age
Male/Female
Breed(guess)
Spay/Neutered:

Please list animal(s) name and vaccine/preventative given, including date, for the following:
Rabies
DHLPP,
Bordetella
Heartworm Test
Heartworm Preventative
Flea/Tick Preventative.

Please attach all medical Records, Signed Rabies Certificate and Health Certificate for animal(s) being transferred:

Transfer Signature -

Signature of transferring agencies representative:

If you are dealing with someone specific at NTTSARS, please list name of representative:

Additional Information and Signature

Known animal(s) medical issues, behavioral issues or any other issues we may need to be aware of.

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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Animal Transfer Form

Personal Information

Please review and sign below agreeing to the statements.

Animal Information - Having updated medical information and a Health Certificate is imperative to us being able to receive transferred animals at the rescue. We will not receive animals without the following information.

Transfer Signature -

Additional Information and Signature