Found Hearts Surrender Form
Fields marked with an * are required
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Your Details - please be assured that Found Hearts will respect your privacy at all times.
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First Name
*
Last Name
*
Street Address
*
Street Address Line 2
City / Suburb / Town
*
State
*
QLD
VIC
NSW
SA
TAS
ACT
WA
Postcode
*
Phone Number
*
Email Address
*
Reason For Surrender
*
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PET DETAILS - Found Hearts may share these animal details publicly if we deem it necessary to find a foster carer. We will NEVER share your personal details.
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Pet Name
*
Species
*
Alpaca
Bird, other cage bird
Bird, other cockatoo/parrot
Bird, other poultry
Cat
Chicken
Dog
Donkey
Duck
Ferret
Goat
Goldfish
Goose
Guinea Pig
Horse
Llama
Mouse
Pig
Pony
Rabbit
Rat
Reptile, other
Snake
Turkey
Pet Estimate Date of birth
*
Breed
*
Sex of Pet
*
Please Select
Female
Male
Colour of Animal
*
Is your pet Microchipped?
*
No
Yes
Microchip Number
*
Desexed
*
No
Yes
Vaccinated
*
No
Yes
Heartwormed
*
No
Yes
If no; has the animal been tested?
*
No
Yes
Wormed and flea treated?
*
No
Yes
Describe the animal's temperament
*
Is the animal toilet trained
*
No
Yes
Is the animal dog friendly
*
If unknown select No
No
Yes
Is the animal cat friendly
*
If unknown select No
No
Yes
Is the animal child friendly
*
If unknown select No
No
Yes
Has the animal ever bitten another animal or person?
*
No
Yes
Has the animal had any basic training?
*
No
Yes
Does the animal have any health problems?
*
No
Yes
Please describe health problems
*
How long have you owned the animal?
*
Name/contact details of regular vet
*
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VET HEALTH CHECK
It is the policy of Found Heart Limited that surrendering owners must have a health check completed by a vet for your pet, at your cost prior to final approval. The form for your vet is via the link below:
Link to Cat Health Check Form
Link to Dog Health Check Form
If Found Hearts is not satisfied with the results of the health check, Found Hearts Ltd reserves the right to decline accepting the animal as this may completely strain the resources of our small rescue.
I agree to having a qualified vet conduct a health check and will submit the result via email for review
*
No
Yes
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I certify that I am the legal owner of the above animal/s and am signing over and relinquishing ownership of said animal/s to Found Hearts Limited of my own free will and not under duress of any kind.
I understand that by thus surrendering legal ownership I forgo any and all future claims on said animal/s as described in this document.
I certify that I understand that surrendering this animal gives all legal authority to Found Hearts Limited and I may not be provided with updates as the rescue must protect the privacy of foster carers and adopters .
I FULLY UNDERSTAND that completing this form and the required Health Check does not constitute acceptance of the surrender, there is no guarantee Found Hearts will accept the animal.
Your Signature
*
Clear
Your Name
*
Date
*
Witness Signature
Clear
Witness Name
Date of Witness Signature
*
Someone will be in contact with you regarding your surrender form