Name

First Name

Last Name

Address

Phone

(###)

###

####

Email

Animal you need to surrender and reason

Microchip number

Is your animal desexed?

Yes

No

Is your animal up to date with Vaccinations?

Yes

No

Tell us about your animals health?

Tel us about your animals temperament?

Does your animal get along with other animals and can you tell us about this?

Agreement

By submitting this application, I agree and Acknowledge that by submitting this form below, I confirm the following details are true: I am the legal owner of the animal described and have the right to surrender it. I understand that by surrendering my animal to Paws and Reins, I will be relinquishing all rights to the animal, and it will become the ownership of Paws and Reins. I agree to sign C3 change of ownership and any necessary documents to transfer ownership of the cat to Paws and Reins. I understand that Paws and Reins will make every effort to find a suitable new home for my animal. I certify that the information provided in this form is accurate to the best of my knowledge.

Yes i agree

No i don't agree

Paws and Reins – Animal Surrender Request Form

Finding a rescue or a place to surrender your animal is not easy especially right now with the amount of animals becoming homeless.

Please complete the following request form to help us understand your situation and why you are surrendering your pet.

We get many requests everyday so we can’t help everyone but we will come back to you once we have reviewed your application.

Alternatives to Surrender

Before making the decision to surrender, consider exploring these options:

Rehoming Assistance: Many organizations offer support to help you find a new, loving home for your pet.

Behavioral Support: Consulting with trainers or behaviorists may resolve issues that seem insurmountable.

Temporary Care: Friends, family, or foster programs can provide temporary solutions while you address your situation.

Surrender Fee

To help cover the costs associated with the care and rehoming of surrendered animals, we request a surrender fee. This fee assists with:

Veterinary Care: Health checks, vaccinations, and treatments.

Desexing and Microchipping: Ensuring pets are ready for adoption.

Boarding and Feeding: Providing shelter and nourishment.

Behavioral Assessments: Evaluating and addressing any behavioral issues.

Please note that surrender fees may vary depending on the animal's age, species, and other factors. For specific fee information, please contact us directly.

Close-up of a happy Beagle dog with tongue out, outdoors on a dirt path with green grass in the background.

A brown tabby cat with yellow eyes sitting on white stairs, wearing a blue collar with a small bell.

Paws and Reins – Animal Surrender Request Form

Paws & Reins