APES Shelter 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 *
Name and Address
Title *
First name *
Last name *
Address *
Town *
Postcode *
Email Address *
Home Tel
Mobile *
	Can we text you on this mobile number?
Do you acknowledge there is a minimum donation of £10 required for use our rescue service? *
We currently require your pet to come with it's housing. Do you acknowledge this? *
Is collection requied? *
Reason for rescue/surrender? *
Comments
Opt-In for updates.

Animal Details