Animal Surrender Form

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ANIMAL SURRENDER FORM
By signing this form, I state that I am the owner of the animal(s) who is/are the subject of this Animal
Surrender Form, hereinafter referred to as “the animal.” To my knowledge, no other person has any right
to this animal. I hereby surrender all rights to the animal. I understand that once I relinquish the animal,
the animal will not be available to be returned. I have read and understand the terms of this Animal
Surrender Form.
Owner Information:
Date
Address
Printed Name
Signature
Animal Information:
Name:
Animal Type:
Weight/Size:
Age:
Years Owned:
Previous Owner:
Sex:
Spay/Neuter:
Indoor/Outdoor:
Color:
Last Vet Visit:
Current Vet:
Please describe in detail why you are surrendering your pet:

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