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Animal Surrender Form
Form required to initiate animal surrender to Faithful Friends Pet Rescue
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Email *
We are located in Gainesville, Florida. All animals surrendered would have to be transported to us in Gainesville, Florida.
Today's date: *
Your name: *
Phone Number *
COMPLETE address: (Street number, City, State, Zip) *
Animal Name: *
Species: *
Age: *
Breed: *
Approximate size: *
Is the animal spayed or neutered? *
Microchip number: *
Is the animal house trained, crate trained or little box trained? *
Has this animal been seen by a veterinarian in the last 12 months? *
Name and contact information of veterinarian: *
When was your pet last seen by this veterinarian? *
What was the name of and when was the last time heartworm/flea/tick prevention given? *
How long have you owned this pet? *
Where did you get this pet? If another rescue, please share rescue name. *
Why are you surrendering this pet? *
Does this animal stay indoors or outdoors when you are not home? *
Has this animal ever bitten a person or other animal? *
I hereby certify that this animal HAS NOT bitten or scratched a human in the past 10 days.   *
I hereby certify that this animal HAS NOT bitten or scratched another animal in the past 10 days.   *
If this animal has bitten or scratched a human or another animal, please describe the circumstances. *
Please tell us about the animal.  (For example likes/dislikes, good or not good with dogs/cats/livestock/small animals/children.) *
I understand to have my animal(s) considered, I must send a follow up to this form to of pictures and medical records of my animal(s). *
I understand that FFPRR responds to emails within 72 hours and will not expect a reply right away. I understand FFPRR is generally unable to help emergency pleas. *
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights to the animal. I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal, the animal will be transferred into the custody of Faithful Friends Pet Rescue and Rehoming, Inc. I understand that once I relinquish the animal, the animal will not be available to be returned. I further certify that I have read and understand the terms of this Animal Surrender Form. *
A copy of your responses will be emailed to the address you provided.
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