Intake Appointment Request

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By submitting this request form, I understand that this shelter has the right to accept or deny my surrender application. Intake staff will be in touch if SSHS is able to accept your pet. THIS APPLICATION DOES NOT MEAN WILL TAKE YOUR PET, PLEASE DO NOT BRING IT TO THE SHELTER UNLESS AN APPOINTMENT DATE/TIME HAS BEEN SET. PLESE EXPECT 48 HOURS FOR A RESPONSE.

Email *

First Name *

Last Name *

Street Address *

City *

State *

Primary Phone Number *

Intake Type *

Owner Surrender

Return

Feral (wild cat)

Stray

Type of Pet *

Dog

Cat

Other:

Breed *

Age *

Is the pet spay/neutered?

Yes

Unsure

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How long have you had this pet? *

Does the pet have a bite record? Meaning has the pet bitten someone or another animal in the past *

Yes

If you answered yes to the above question, did the bite occur within the last 10 days?

Yes

Clear selection

What's the reason for surrender? (We have assistnace available to help you keep your pet!) *

What type of assistance would you help you keep your pet?

Pet Food

Vaccines

Spay/Neuter

Other Medical Care

Behavior Counseling

Short-term housing

Dog House

Fence Repair

Other Supplies (leash, collar, harness etc)

Rehoming assistance (can't keep your dog but don't want it to be in a shelter)

Other:

Clear selection

Anything else you'd like to share

Submit

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