*We cannot accept stay animals. Please call your local animal control.
*There is a $30, per small animal, surrender fee.
First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Cell Phone
Alt Email
Why do you want to surrender the animal?*
What type of animal?
What is the name, age, gender and breed/species of the animal you wish to surrender?*
How long have you had this animal and where did you get them?*
What can you tell us about their behavior with people/kids/ other animals/etc?*
Are there any other behaviors we should know about? If so what are they?*
What is the animal kept in? Cage, pen, tank, etc.*
Will the animal be surrendered with their cage/pen/housing?
Please provide any additional information you feel we should know that is not covered above.
