Owner Surrender Form-Paws and Claws

First name

Last name

Address

Phone Number

Are you the legal owner of this animal?

Yes

If you are not the legal owner, provide the name & phone number of the legal owner.

Can anyone else claim ownership (ex-spouse, parent, child)? If yes, provide name and phone number.

Name, age, breed of pet?

Spayed/Neutered?

Yes

Up To Date (UTD) on Vaccinations?

Yes

Unsure

Microchipped?

Yes

UTD on Flea/Tick Preventatives?

Yes

UTD on Heartworm Preventatives?

Yes

Litter of kittens or puppies? Age, number in litter, breed.

Veterinarian Contact Information?

How long have you had this animal?

How did you acquire this animal? If from another shelter, provide the shelter name and location:

Why are you surrendering this animal?

Have you surrendered a pet in the past? If yes, why?

Does this animal have a bite record? If yes, please explain.

Any medical problems?

Any known allergies?

Does this animal have any behavioral problems?

Does this animal have “prey drive” or ever attacked another animal (chickens, cats, dogs)? If yes, please explain.

Does this animal co-exist with dogs?

Yes

Does this animal co-exist with cats?

Yes

Does this animal co-exist with children? If yes, what ages?

Is this animal potty trained?

Yes

Is this animal crate trained?

Yes

Does this animal ride well in a car?

Yes

Does this animal walk well on a leash?

Yes

Does this animal require a fenced-in yard?

Yes

Can this animal scale/climb a fence?

Yes

Does this pet like to swim?

Yes

Hunt?

Yes

Does this animal do well with medical examinations/vaccinations?

Yes

Does this animal do well with grooming/nail trim?

Yes

Does this animal bark/meow often?

Yes

What tricks/commands does this animal know?

Type/Amount/Frequency you feed your pet?

Is there anything that makes this pet nervous (men, loud noise, etc)?

By signing below, you are releasing all ownership of animal described above including but not limited to previous medical records.

I acknowledge that I have read, understand, and agree to the following statements: There is not a bite record for the animal(s).

The animal(s) has/have not been deemed dangerous by any agency of the state, county, municipality, or other governmental subdivision of the state which is responsible for animal control operations in its jurisdiction. To the best of my knowledge no other person has the right to property on the animal(s) and there are no legal disputes over the custody of the animal(s). I relinquish all rights of ownership to the animal(s). Should I decide I want the animal(s) back, I will be required to go through the adoption process and pay the fees required for the adoption(s), even if it is the day after surrendering the animal(s). I understand that Paws+Claws Rescue & Resort reserves the right to refuse any adoption.

Your Signature

Please write a short biography for your pet that would help him/her get adopted like favorite things to do, toys they like to play with, cuddling, etc.

*In order to help with the medical and day-to-day care of your animal(s) a donation is greatly appreciated. Please let us know if you would like to donate.

Your Signature

Date