Meriden Humane Society Canine (Dog) Request to Surrender Form

Meriden Humane Society Canine (Dog) Request to Surrender Form

Please fill out this form to add your canine to our evaluation and intake waiting list.

Owner Information
Ex. 123 Test St. Apt 465
Ex. 123-456-7890
Ex. 123-456-7890
Canine Information
Ex. 1yr 4mo
Up to date on shots:
Behavioral Issues
Please Note: Filling out this form does not guarantee you an evaluation appointment. As of 12/1/2018: MHS requests a $100 canine surrender donation.