Pet Surrender Form
Email *
Name, location, and phone number: *
Pet's name *
Type of animal *
Breed *
Pet's age *
Is your pet male or female? *
Why are you surrendering your animal to PAWS? (Please be specific and honest as this helps us find your pet the best forever home). *
When did you adopt/purchase the pet? Are you the first owner? *
What training or commands does your pet know/respond to? *
Does your pet have any bad habits or exhibit any destructive behavior that PAWS and the prospective owners should know? If yes please explain. *
What are your pet's favorite activities? (Ie. going on walks, outdoor plays, playing with a favorite toy, cuddling) *
Is there anything your pet is afraid of or dislikes? *
Please provide a description of your pet's temperament, personality, and any behaviors your pet has that you would like prospective new families to know. *
Does your pet get along with other animals? If yes, please list what kind. *
Does your pet get along with children? *
Does your pet have any dietary restrictions? Please describe.
If you acquired your pet in Japan, where did you get them from?
Has your pet had the following training? (check all that apply) *
Is your pet spayed/neutered? *
If you are surrendering a dog and they are not spayed/neutered, please provide your dog's current weight.
Is your pet microchipped? *
Will your pet's vaccines be current within 60 days of surrender? (You are required to bring in a copy of your pet's medical record at the time of surrender. This must include the vaccination record.) *
If you are surrendering a dog, does your dog have a current heartworm test? *
Does your pet have any medical or special needs? If yes, please describe. *
Any other notes and comments about your pet:
Surrender Fees
Starting surrender fee for cats and dogs is $160. Starting surrender fee for rabbits is $250. Emergency fee of $250 will apply if you need to surrender within two weeks from the date we receive your completed Surrender Form.

Additional fees may apply if:
-- Pet is sick or has immediate medical needs
-- Pet needs professional behavioral training
-- Pet is not spayed or neutered
-- Pet is not microchipped
-- Pet is not up to date on vaccinations
-- There are any other financial responsibilities directly related to the animal.
By agreeing to submit this form you are agreeing that you have read and comprehended the questionnaire, and that you have answered all questions to the best of your ability. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy