Owner Surrrender Form | Saving Hope Rescue

First Name

Last Name

Email

Phone

Country/Region

Address

City

Zip / Postal code

Is this for a dog or cat?

Dog

Cat

What is your pet's name?

Age of the pet.

If you are surrendering a litter of puppies please include the number of puppies.

Gender of the pet.

If your pet have a microchip, please provide the number.

How long have you had your pet?

How much does your pet weight?

Why are looking to re-home your pet?

Did you adopt your dog from Saving Hope?

Yes

No

Where did you get your dog from?

Please provide more details on the reason you are looking to re-home, such as known/specific health issues, behavioral issues, aggression etc.

If you have selected Landlord Issues, please provide the name of the management company and phone number.

Has your pet ever bitten anyone?

Yes

No

If you are surrendering a dog please select all that apply below.

What, if anything, have you tried to rehome the pet yourself? Please provide the actions you have taken.

Do you have previous vet records for your dog? If you answer yes, please email them to savinghoperescue@gmail.com.

Yes

No

Can you foster your dog until adoption?

Yes

No

I acknowledge and agree to pay a surrendering donation of at least $50 for the ongoing care of my pet.

I understand that filling out this form does not guarantee Saving Hope will be able to take my pet.

By surrendering this animal, I will give up all rights to the animal and agree to pay a surrendering donation of at least $50. All decisions relating to the care of this animal will be made by Saving Hope Animal Rescue.*

I certify that I am the owner of or have the authority to surrender the pet described above to Saving Hope Animal Rescue. My signature below acknowledges that I am aware all animals surrendered to Saving Hope Animal Rescue become property of Saving Hope Animal Rescue.

Signature

Date

Please upload any images you may have.