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AARCS Critter Intake Request
Please fill out this form to request a critter intake through transfer of guardianship
(Rabbits, Guinea Pigs, Hamsters, Gerbils, etc.).
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* Indicates required question
Date
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MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone
*
Your answer
Address
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
Species
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Your answer
Animal(s)' Name(s)
*
Your answer
Sex:
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Male
Female
Unknown
Age of Animal(s)
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Your answer
Breed/Colour Markings
*
Your answer
Is this animal spayed or neutered?
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Yes
No
Unknown
Does this animal have any ID, such as a tattoo or microchip?
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Yes
No
Unknown
Has this animal bitten or scratched anyone in the past 10 days?
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Yes
No
Unknown
When was the last time this animal saw a vet?
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Your answer
When was the animal last vaccinated?
*
Your answer
When was this animal last dewormed or treated for parasites?
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Your answer
Please provide the contact information for the vet clinic this animal's records are located at.
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Your answer
Indicate whether you give us permission to obtain these records
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Yes
No
How did this animal come to be in your care?
*
Your answer
Why do you need to rehome this animal?
*
Your answer
When does this animal need to be rehomed by?
*
MM
/
DD
/
YYYY
Please check any of the following health issues that you are aware this animal has:
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Fleas, Ticks or Ear Mites
Skin Condition
Ear or Eye Infection
Dental Issues
Worms
Food Allergies or Digestive Issues
Urinary Issues or Litter Box Problems
Sneezing, Wheezing, Runny Eyes or Runny Nose
None of the above
Required
Please elaborate further about any health issue, such as when it started and have you done anything to resolve it?
Your answer
Where is this animal used to living?
*
Indoors
Outdoors
Indoors and Outdoors
Please check the boxes that best describe the animal's personality:
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Friendly/Outgoing
Playful/Frisky
Affectionate
Shy/Timid
Fearful/Nervous
Aggressive
Required
Do you know if this animal is good with (select all that apply):
*
Visitors/Strangers
Children
Dogs
Cats
Animals of the same species
Required
Please explain any behavioural issues the animal may have:
*
Your answer
Please list the type/brand/flavour of food the animal is used to eating:
*
Your answer
Do you have any other information you would like to share with us that might help us look after this animal or find them a new adoptive home (favourite treats, a funny trick they do, etc.)?
Your answer
IMPORTANT: Is there anything that AARCS can do to help you keep the animal(s) in your home? Please share in detail.
*
Your answer
AARCS requires a care contribution fee for any small animal that comes into our care. Are you prepared to do so? *Care Contribution fee can be discussed when the Critter Coordinator reaches out to you.
*
Yes
No
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This form was created inside of Alberta Animal Rescue Crew Society.
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