Pet Surrender

Date

Last Name

First Name

Address

City

State

Zip Code

Phone Number

Animal Name

Species

Cat or Dog Breed (select one)

Sex

Age

Has the animal lived with children?

If so, please specify age and sex

Has the animal lived with other cats and dogs?

If so, please specify the species

Has the animal lived with animals other than cats and dogs?

If so, please specify the species

Has the animal been spayed/neutered?

Is the animal up to date with its annual vaccinations?

How long have you owned the animal?

Why are you looking to rehome your animal?

What is your timeframe for rehoming your animal?

Where did you get the animal initially?

Please read and check each box

I understand that submitting this form does not mean that SEVHS can take my pet(s).
I understand that SEVHS accepts pets into their Adoption program based on many factors.
I understand that SEVHS will temperament test my pet(s) to determine eligibility.

Notes

"All creatures are deserving of a life free from fear and pain" ~ Maura Cummings

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Pet Surrender

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