Surrender Form

Please copy this into an email or print and bring with you at the time of surrender.

I may require a fee to take in your exotic pet depending on the situation and condition of your pet.  Even if there is not, I am going to ask that ALL supplies that you currently have (cage, toys, food, bedding, etc) be surrendered along with your pet- I WILL NOT pay you for these items. Your pet deserves to be kept as comfortable as possible during this stressful time and providing them with a familiar cage and toys will help during this process.

 I will also request that you make the effort to drop your pet off at an arranged time at my home. I may be able to arrange to meet you at a more neutral location, but I would prefer for you to make the effort and bring your pet to me.

If you are going to be surrendering your exotic pet to me please fill out this form so that I can have the most accurate information about your pet available. 

Your Name:________________________________________

Address:__________________________________________

Phone number:______________________________________

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Pet Species:________________________________________

Pet Name:_________________________________________

Pet Sex:__________________________________________

Pet Age:__________________________________________

Neutered or Spayed?  Y   N

When was the last time your pet saw a vet?________________

What is the name of the vet that you took your pet to?

________________________________________________ 

Are there any known health problems?____________________

Does your pet require any “special” care that I need to be aware of?______________________________________________

What are you currently feeding? (incl. brands please)
________________________________________________ 

How long have you had your pet?________________________

Reason for surrendering:______________________________

How many pets are you surrendering?_____________________

If more than one please print an additional page and complete for each pet.

By signing below you are acknowledging that you are surrendering your exotic pet to me by your own request to do so. You are also acknowledging that you agree to the re-homing of your pet to a new home and that you will not get your pet back. Should you decide that you want your exotic pet back after surrendering it you will be required to pay the re-homing fee and you must also fill out an adoption form and prove you qualify as an acceptable home for an exotic pet.

YOU ARE NOT ABANDONING THIS ANIMAL.

YOU HAVE DONE THE RIGHT THING IN RELINQUISHING IT TO A NO KILL SHELTER.

YOUR KIND DECISION HAS GIVEN THEM A SECOND CHANCE!

THANK YOU FOR MAKING A DIFFERENCE!

 
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Owner Signature & Date

 
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Tara Nelson Tara’s Exotic Rescue