Owner Surrender Form | Saving Hope Rescue

First Name

Last Name

Email

Phone

Full Address

Country/Region

Address

City

Zip / Postal code

How many animals are you wanting to surrender/get into the rescue?

If your pet(s) have a microchip, please provide the number(s).

How long have you had your pet(s)?

Why are looking to re-home your pet?

Did you adopt your dog from Saving Hope?

Yes

No

Where did you get your dog(s) from?

Please provide more details on the reason you are looking to re-home, such as known/specific health issues, behavioral issues, aggression etc.

If you have selected Landlord Issues, please provide the name of the management company and phone number.

Has your pet(s) ever bitten anyone?

Yes

No

If you are surrendering a dog please select all that apply below.

What, if anything, have you tried to rehome the pet(s) yourself? Please provide the actions you have taken.

Do you have previous vet records for your dog(s)? If you answer yes, please email them to medical@savinghoperescue.org.

Yes

No

Can you foster your dog(s) until adoption?

Yes

No

Note: We are a foster based rescue and fostering your dog until adoption aids us in being able to help with your situation. Adoption can take anywhere from weeks to months to occur, please consider this when responding.

If we're unable to help, would you like us to connect you with a paid service that offers rehoming support?

Please upload any images you may have.

You can upload up to 3 images.

I acknowledge and agree to pay a surrendering donation of at least $50 for the ongoing care of my pet.

I understand that filling out this form does not guarantee Saving Hope will be able to take my pet.

By surrendering this animal, I will give up all rights to the animal and agree to pay a surrendering donation of at least $50. All decisions relating to the care of this animal will be made by Saving Hope Animal Rescue.*

I certify that I am the owner of or have the authority to surrender the pet described above to Saving Hope Animal Rescue. My signature below acknowledges that I am aware all animals surrendered to Saving Hope Animal Rescue become property of Saving Hope Animal Rescue.

Signature

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Date