Mainely Rat Rescue SURRENDER Form

MAINELY RAT RESCUE ONLY WORKS OUT OF NEW ENGLAND (USA). IF YOU ARE LOOKING FOR HELP SURRENDERING AN ANIMAL OUTSIDE OF THAT AREA, PLEASE CHECK YOUR LOCAL RESOURCES.

NEW ENGLAND STATES ONLY - USA - What state are you from?
Are you over the age of 18? *
Date *
Name - First *
Name - Last *
Address *
City *
State *
ZIP *
Phone *
Email *
Number of Pets Being Surrendered *
Pet's Name *
Species / Breed & Color / Coat: *
Age *
Sex *
Pet Name 2
Species / Breed & Color / Coat:
Pet Age 2
Sex Pet 2
Photo
Photo 1
Additional Pets - Name, Age, Sex, Breed, Species, Color It is very important that EACH animal being surrendered is listed
Where did your pet originally come from? *
Why are you unable to keep your pet? *
What kind of habitat does your pet live in? Please be specific. *
Are you able to send this habitat to their foster or forever home? *
What type of bedding do you use for your pet? *
What do you feed your pet? Please include brand names, treats and/or homemade diets. *
How does your pet react to being handled? *
Would you recommend placing this pet in a home with children? *
Has your pet ever bitten anyone? If so, please explain the circumstances. *
Did the bite happen in the last 10 days? If so, what was the date and who was bitten?
Would you recommend placing this pet in a home with others of his species? *
Has your pet ever been to a veterinarian? If so, why? *
Who was the veterinarian? Please provide contact information.
May we contact your veterinarian for medical records?
Our foster homes are all over New England and beyond. We may need your help getting your pet(s) to their foster home. How far are you willing / able to travel? *
If you are not able to travel, are you able to donate gas money to a volunteer to pick up your pet and deliver to the foster home? *
Please write a couple of sentences about this pet's personality. *
Please write a couple of sentences about this pet's likes and dislikes. *
Please describe this pet's experiences while in your care. *
Is there anything else that you would like this organization, foster home and future forever home to know about this pet?
Please tell us what type of family you think this animal would fit best with and explain why. Every bit of information you provide helps us find your pet a perfect home!
As the legal owner of the aforementioned animals, I agree that I forego my ownership of the animal(s) and relinquish this animal(s) into the care of Mainely Rat Rescue with the submission of this form. In doing so, I agree that Mainely Rat Rescue is free to seek out an adoptive home for the animal(s) and provide medical treatment including euthanasia if appropriate and necessary. I also have provided Mainely Rat Rescue with a complete history of the animal(s) to the best of my knowledge, including medical and behavioral. Mainely Rat Rescue assumes responsibility for the animal(s) on the date they enter Mainely Rat Rescue custody. *
Signature *
We will reach out via email when we find placement for your animal(s), not telephone. Please check email daily!