The Tri-State’s
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No-Kill Animal Shelter
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Surrender a Pet
Date:
*
Type:
*
Cat
Dog
Animals Name:
*
Breed:
*
Sex:
Male
Female
What is the age of the pet?
Color/Markings:
*
Please upload an image of the pet you want to surrender
*
Has the animal been spayed/neutered?
Yes
No
Has the animal been microchipped?
Yes
No
If yes #
Is the Animal a Stray or Owner Surrender?
*
Why are you surrendering the pet?
*
Area where found if stray:
*
Person surrendering the animal:
*
Phone:
*
Address:
*
Email:
*
Owner of Pet?
*
Is the animal current on Vaccines?
*
Spayed or Neutered?
*
HW TESTED?
*
Veterinarian that treated animal
*
Temperament of Animal
*
Is the Animal good with Kids
Yes
No
Is the Animal good with Dogs?
*
Yes
No
Is the Animal good with Cats?
*
Yes
No
Has the Animal ever bitten?
*