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Surrender Request
This form is a request to surrender a pet to Riverside Rescue in Lunenburg Vermont. Please note that we can not take every pet, but we do try our very best to help.
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Email
*
Your email
Full Name
*
Your answer
Full Address: Street, Town State
*
Your answer
Phone Number
*
Your answer
Email if different than above
*
Your answer
Cat or Dog
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Cat
Dog
Breed
*
Your answer
How old is the pet
*
Your answer
Why are you giving up the pet?
*
Your answer
Is the pet good with kids, cats or other dogs? Explain
*
Your answer
I acknowledge that this is a request for a pet surrender. I understand that by filling out this form it does not mean Riverside Rescue will or has to take my pet.
*
I agree
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Send me a copy of my responses.
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