Release Waitlist
Request to Release Animal to PAWS of Grays Harbor
PAWS of Grays Harbor
Your honesty is appreciated. We would like as much information as possible to give us the best chance of finding an appropriate home for this animal.
Applicant's First Name
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Applicant's Last Name
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Address
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City
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State
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Zip
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Phone Number
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Please use the following format 248-555-1212
Alternate Phone Number
Email Address
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Please enter correctly as this is the main way we will contact you
Please select the type of animal(s) to release
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Dog
Cat
How many animals are you needing to release?
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What is their breed? (For dogs. If surrendering cat, please write N/A)
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What is the appoximate age of the animal (if known)
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What is the gender of the animal (if known)
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Male
Female
Both (multiple animals)
Unknown
Has this animal been spayed or neutered (to the best of your knowledge)
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Yes
No
I don't know
Is this animal current on their vaccinations?
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Yes
No
I don't know
How did you acquire this animal?
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Has this animal been living primarily indoors or outdoors?
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Indoor only
Outdoor only
Both indoor and outdoor
How friendly is this animal? Can you pet/hold/pick them up?
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How does this animal react around strangers?
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Does this animal have a stranger gender preference?
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Strongly prefers Men
Strongly prefers Women
Generally prefers Men
Generally prefers Women
No preference
I don't know
Does this animal have a bite history with either humans or other animals?
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Yes
No
I don't know
If yes, please explain:
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Is this animal on any medications, supplements, or special diets?
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No
Yes
If yes, please provide list:
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Does this animal have any known medical history? i.e medical conditions/injuries/long term needs
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Any additional animal information:
Why do you need to release?
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Found as a stray
Behavioral Issues
Biting
Divorce or Breakup
Health Issues
Landlord Ultimatum
Moving
New Baby in the Family
No Training
Owner Allergies
Owner Died
Owner Has No Time
Unable to Afford
Unsuitable Accommodation
Unwanted
If moving/landlord ultimatum, please provide deadline if possible. (If releasing for other reason, enter N/A)
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What is your preferred method of contact?
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Phone call
Email
Text
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way.
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No
Yes
I understand that anything submitted found to be untrue at time of release may result in an inability for PAWS of Grays Harbor to assume ownership of the animal.
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No
Yes
Signature:
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Clear
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