Animal Surrender

ANIMAL SURRENDER

Every animal that comes to Creepy Critters Rescue will have lab work done to determine general health and treatment options. The cost for this service is $45.00. This fee will be due at the time of surrender. We will need to see a valid identification card in order to accept any animals.

Animal Surrender Form

By signing this form, I state that I am the owner of the animal(s) who is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal”. To my knowledge, no other person has any right to this animal. I hereby surrender all rights to the animal. I understand that once I relinquish the animal, the animal will not be available to be returned. I have read and understand the terms of this Animal Surrender Form.

Owner Information

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Animal Information

Name(s) *

Species *

Sex *

Age *

Size *

Color/Pattern *

Years Owned *

Previous Owner *

Reason for surrender *

Past Care Info

Any current health problems? *

What habitat did the animal live in? *

What food was the animal fed? *

What lighting was used? *

What heat source was used? *

What water source was used? *

What temps day and night? *

Any Supplements? *

Any past sickness or injuries? *

When was the animal treated? *

What treatment was given? *

Has the animal ever laid eggs/given birth? *

Do you wish to make a donation to help us care for your pet? Donating will allow you access to updates about your pets progress. *

Yes No

If Yes, How much do you wish to donate? *

Submit