Surrender Form | Happy Homes Pet Rescue, Inc.

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Surrender Request

Name *

Email address *

Phone Number

Name of Pet *

Species *

Dog
Cat

Breed *

Age *

Weight *

Male or Female? *

Male
Female

Spayed or neutered? *

Spayed (female)
Neutered (male)
Unaltered

Microchipped? *

Yes
No

Name of your veterinarian and contact information *

Is your pet up to date on vet care? *

Yes
No

Is your pet up to date on vaccinations? *

Yes
No

If your pet is a dog, what is their heartworm status? *

Negative
Positive
I don't Know
N/A

What heartworm prevention is your dog taking? *

Is your pet housebroken/Potty trained/Litter Box trained? *

Yes
No

Is your pet crate trained? *

Yes
No

If your pet is a cat, what is their FIV/FeLV status? *

Negative
Positive
I don't Know
N/A

Is your pet on any flea/tick prevention? *

Yes
No

Does your pet have any behavioral or medical issues? If "yes", please explain. *

Does your pet have any special needs? If "yes", please explain. *

Does your pet get along with other animals (Dogs, cats)? *

Is your pet good with children? *

Can you provide recent, clear pictures of your pet?

Can you provide veterinary records on your pet?

What is your reason for needing to surrender your pet? *

Leave this field empty

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