Surrender Form

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1 X Surrender Form

Pet's Name*

Which pet do you have you are surrendering (Cat, Kitten, Other)? If other, please specify.*

Describe your animal (color, long or short hair, etc.)*

Sex of your pet? (click arrow to select)*

Breed?*

How long have you owned this pet?*

How did you obtain this pet?*

Why are you surrendering this pet?*

When was your pet last seen by a veterinarian? What is the name of your veterinarian?*

Is the pet spayed or neutered? (Documentation Required)*

Is this pet up to date on all vaccations? If yes, copies of these records are required.*

Does the pet spend most of his/her time: Indoors, Outdoors, Indoors and Outdoors?*

Please describe any agressive, minor or major behavior problems your pet exhibits (food agression, digging, house soiling, chewing or scratching)?*

How does your pet respond to visitors or strangers?*

How is your pet with children? *

How is your pet with other animals? Please describe. *

Is your cat litter trained?*

Does your pet have any health issues or concerns? Please describe in detail.*

Does your pet have any allergies? If yes, please describe.*

What type / brand of food does your pet prefer?*

Please provide any additional information you feel might be helpful. *

Please describe your efforts to rehome your pet prior to coming to us.*

To the best of my knowledge, the animal has not bitten any person and all information about the animal given by me to Beare Garden Plantation Animal Rescue Center is true. I understand and hereby certify that: (i) I am the true and rightful owner of the animal or animals that I have surrendered this day to Beare Garden Plantation Animal Rescue Center, (ii) no other person has any right of property of such animal or animals, (iii) I am relinquishing custody and rights of this animal or animals to Beare Garden Plantation Animal Rescue Center. *

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