Linus & Friends Surrender Form / FL
We understand that rehoming your animal is a very difficult decision. Please fill out this form to the best of your ability. Your answers will help us place the animal in the home most suitable for their specific needs. We ask that you be completely honest and open about your animal as false or misleading information can lead to multiple issues, from incorrect placement to legal issues. We will use your answers along with our own evaluation to ensure that the animal goes to the most appropriate loving home.
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Your Name *
Street Address
City *
State *
Zip Code *
Phone Number *
Email *
Animal's Name *
Type of animal (i.e dog/cat/rabbit etc) *
Breed:
Approximate Age *
Approximate Weight *
Is the pet microchipped? *
Microchip Number (if known)
Is the animal spayed/neutered? *
Why are you surrendering the animal? *
Is the animal up to date with all vaccinations? (Lack of vaccinations will not disqualify an animal from our program.) *
Does the animal have any health issues or currently on medication? *
Is the animal heartworm positive? *
Is the animal on heartworm prevention and if so, what brand? *
What is the name and address of the veterinarian who last treated this pet? *
Feeding Instructions: What brand of food does the pet get fed? Dry, canned, combination? How much is the pet fed? How often is the pet fed? Are there specifics you wish to share with the new owner? *
By when does your pet need to enter? *
Check all adjectives that describe your pet:
How is the animal with people, including yourself? *
How is the animal with children? *
How is the animal with other animals? Cats? Dogs? *
Has the animal ever bitten a person? *
If yes, please explain in detail. *
Has the animal ever bitten another animal? Please describe. *
Is the animal crate trained? *
Where did you get the animal originally? Do you know its history? *
How long have you owned the animal? *
What does the pet like? *
What does the pet dislike? *
Is the animal housebroken? *
If partly, please describe where and when the incidents occur
Please describe any behavioral issues, if any
Is there anything else you can share that is special, unusual, or endearing about your pet that would help the new owner? *
Is there anything else we should know? *
Please email a picture or pictures of this pet to contact@linusrescue.org. We will need this step to be completed as a part of this surrender form. *
Are you the legal owner of the animal? *
If you answered no the previous question, please state your relationship to the legal owner *
BY SIGNING MY NAME BELOW, I CONFIRM THAT THE INFORMATION I PROVIDED ABOVE IS ACCURATE AND TRUE TO THE BEST OF MY KNOWLEDGE. I ALSO AGREE TO PROVIDE THE ANIMAL'S AVAILABLE MEDICAL RECORDS. I UNDERSTAND THAT BY COMPLETION AND SIGNING OF THIS FORM I VOLUNTARILY RELINQUISH ALL RIGHTS AND OWNERSHIP OF THE ANIMAL DETAILED ABOVE TO LINUS & FRIENDS RESCUE.  I UNDERSTAND THAT I CANNOT RECLAIM RIGHTS TO THE ANIMAL ONCE THE ANIMAL IS IN POSSESSION OF LINUS & FRIENDS. *
Please type your full name to accept the terms above: *
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