Surrender Form

Date of surrender *

Date

Time

Name *

First

Last

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

Name of surrendered pet? *

Name of additional pet surrendered:

Name of additional pet surrendered:

What is the age of your pet? *

What is the age of your pet #2

What is the age of your pet #3

What is the gender of your pet? *

• Male
• Female

What is the gender of your pet #2

• Male
• Female

What is the gender of your pet #3

• Male
• Female

Is the pet altered? *

• Neutered
• Spayed
• No/Unknown

Is pet #2 altered?

• Neutered
• Spayed
• No/Unknown

Is pet #3 altered?

• Neutered
• Spayed
• No/Unknown

Is your pet cat friendly? *

• Yes
• No
• Unknown

Is your pet #2 cat friendly?

• Yes
• No
• Unknown

Is your pet #3 cat friendly?

• Yes
• No
• Unknown

Is your pet dog friendly? *

• Yes
• No
• Unknown

Is your pet #2 dog friendly?

• Yes
• No
• Unknown

Is your pet #3 dog friendly?

• Yes
• No
• Unknown

Is your pet kid friendly? *

• Yes
• No
• Yes but does best with children over 12 years old
• Unknown

Is your pet #2 kid friendly?

• Yes
• No
• Yes but does best with children over 12 years old
• Unknown

Is your pet #3 kid friendly?

• Yes
• No
• Yes but does best with children over 12 years old
• Unknown

Please list any health issues of your pet(s): if none, write none below. *

What is the reason for surrender? *

I certify that I own the animal being surrendered and I transfer ownership to Together Furever. As such, I relinquish any and all rights to this animal.

By signing your FULL NAME you are legally committed this this contract.

Submit

WE DO NOT ACCEPT SURRENDERED PETS. With that said we do come across situations where the owner must surrender their pet. ALL SURRENDERS MUST BE PRE-APPROVED.