Intake Request Form
Be aware that our waitlist is extensive and placement is not guaranteed. ***Due to the high volume of requests, a member of our intake team will only reach out if/when we are able to accommodate your request.***

Please complete a separate form for each animal.
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Email *
Be aware that our waitlist is extensive and placement is not guaranteed. ***Due to the high volume of requests, a member of our intake team will ONLY reach out if/when we are able to accommodate your request.*** *
Owner's First Name: *
Owner's Last Name: *
What is your email address? *
Phone Number *
Street # and name: *
Zip Code *
Are you looking to surrender your animal due to a domestic violence situation? *
Type of animal (please note we are only able to take in cats and dogs) *
How old is your pet? *
Is your pet spayed / neutered? *
Is your pet up to date on vaccines / do you have medical records to bring with you? *
Where did you adopt this animal originally? *
If this animal was originally adopted from the Fredericksburg SPCA, what was their name here?
What is the closest applicable reason for rehoming? *
Please list the reasoning AND situation for rehome in as much detail as possible: *
What is your favorite thing about your pet? *
If provided with resources pertaining to your situation, would you be willing to keep your pet in the home? *
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