Shelter & Rescue - Shelter Surrender Request Form

Please use one form per animal. Please note as the legal owner of the animal we will require you to sign a release form at the time of surrender.

Today's Date *
Animal Details
Animal Name
Age Group
Actual Age
Sex *
Species * We do not take in cats or dogs. Please see our cat and dogs rescue page for information on rescues that accept these.
Breed * We do not take in cats or dogs. Please see our cat and dogs rescue page for information on rescues that accept these.
Colour
Image of animal
Features
Markings or distinguishing features *
Owners Information
Title *
First name *
Last name *
Address *
Town *
Postcode *
Contact Information
Email Address *
Home Tel
Mobile *
	Can we text you on this mobile number?
Opt-In for updates. * With out this we can not contact you.
Do we need to collect
Is collection requied? * Do we need to come to collect your pet?
	We charge £10 for collection do you agree to this?
Housing
We require your pet to come with it's housing. Is this ok? *
If you can't give the housing please state why here. *
Please tell us the size of the enclosure. *
Reason For Surrender
Reason for rescue/surrender? *
Comments

Animal Details