General Animal Surrender Form (Non-Fox, Non-Mink)

Please fill this form out for any animal other than a fox or mink that you wish to surrender or relinquish to SaveAFox Rescue. We cannot guarantee that we will be able to take in your animal. Please allow 14 days for your surrender to be processed. You will be contacted as soon as possible.

First name

Last name

Driver's License Number or Valid State ID

Phone

Address

General Animal Information

Are you the owner of the animal?

How was the animal acquired?

Type of animal:

Animal's breed (if known):

Animal's name:

Animal Age or Birthday:

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When did the animal last visit a veterinarian?

Please list veterinarian's information so that we may acquire the animals health records: (if known)

Is the animal spayed/neutered?

Is the animal up to date on their vaccinations: (if required)

Is the animal microchipped or tattooed (if required)?

Does the animal have any health issues? (Example: FeLV)

Does the animal have any allergies?

Does the animal require any medications?

Other Required Information:

Does the animal get along with children?

Does the animal get along with other animals?

Why do you need to surrender the animal?

Please provide as much other detail or information as you can on the history and temperament of this animal:

Signature

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