GEARS Surrender Form
Please note that due to the high amount of intake requests, we may not be able to accommodate your request, and may only reply if we are able to accept the surrender. GEARS is a foster home based rescue and only can take in as many animals as we have space for. As we are a non-profit organization, surrender fees may apply - $100 for intact cats/dogs and $50 for spayed/neutered cats/dogs. Please provide as much correct information as possible so we can ensure appropriate placement upon intake.
Your Name: *
Your answer
Your Phone Number: *
Your answer
Your Email Address: *
Your answer
Animal's Name: *
Your answer
Species: *
Breed (If Known):
Your answer
Gender: *
Is your animal spayed/neutered? *
Approximate Age:
Your answer
Where did you get your animal? *
Your answer
How long has the animal been in your possession? *
Your answer
What is your main reason for surrendering your animal? *
Your answer
Does your animal have any medical concerns or are they currently on a special diet/medication? *
Your answer
Do you have documented medical history on your animal? *
How is your animal with dogs? *
Your answer
How is your animal with cats? *
Your answer
How is your animal with children? *
Your answer
Is your animal: *
Required
Has your animal bitten anyone? *
If yes, please describe the circumstances regarding the bite, and how severe the damage was. (Bruising, broken skin, stitches, etc)
Your answer
Do you need your animal surrendered by a certain date? *
Your answer
As we are a non-profit organization, surrender fees may apply - $100 for intact cats/dogs and $50 for spayed/neutered cats/dogs. Are you able to pay this fee?
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