Surrender Form

As a rescue, we want to ensure we can give the animals that need it the best care possible. To do this and ensure that we have everything on hand for the new arrival, we ask that you fill out the following information about any surrendered animal that you'd like us to look at accepting.

* This form does not guarantee your animal come into our care immediately, but rather that you will be put on our waiting list for animal intakes *

First name

Last name

Phone

Date of Birth

Include an image of the whole animal here:

Upload File

Address (Including City and State)

Are you able to drop the animal off at our property? If not, have you arranged it otherwise through contact with the rescue?

What is the name of the animal(s) you'd like to surrender?

What are the species of the animal(s) you'd like to surrender?

What is the gender of the animal(s)?

How long have you owned your animal(s)?

Where did you obtain the animal(s)?

Are there any known health issues? If so, what?

What enclosure was the animal(s) kept in?

What heating or lighting did you keep the enclosure?

What substrate did the animal(s) have in it's previous enclosure?

What have you been feeding the animal? How Often?

Did the animal(s) get any type of supplement in it's diet? If so, what?

Were the animal(s) kept with another?

What is the reason for surrender?

Thanks for submitting! We'll get back to you shortly.