Surrender form

NSW Residents: Please upload a signed copy of the Change of Ownership form C3a
Upload photo of your drivers license (for proof of identity as required by law)
Upload proof of ownership - This could be registration papers or a vet invoice that shows the animal name and your name. This is required by law. If you do not have papers with both names on it, please provide a stat dec (link above) stating you are the owner of the animal being surrendered.
First Name *
Last Name *
Address *
Suburb *
Postcode *
Phone Number *
Email address *
Name of the animal you need assistance with *
Reason you are needing to rehome your pet/s *
Pet's date of birth & age *
Breed of your pet *
Approximate weight of your pet *
Sex of your pet *
How long have you owned your pet?
Please discuss whether your pet is friendly with other animals *
Please discuss whether your pet is friendly with children and people *
Where does your pet currently live? (Inside, outside, pen etc) *
Does your pet require specific fencing or housing? *
Does your pet have any behaviour issues? Please describe in as much detail as you can *
Does your pet have any medical issues? Please describe in as much detail as you can *
Please select the vetwork your pet has had done *
Please provide dates of above vetwork
Please upload a copy of your pets vaccination certificate
Microchip number
Do you consent to WTS contacting your vet? Please provide their contact details
Where did you originally get your pet from?
Please upload a photo of your pet
Please upload a photo of your pet
Please upload a photo of your pet
Please sign over ownership of your pet to Willow Tree Sanctuary
	By checking the box below and accepting an animal into my care, I acknowledge that I am bound by and agree to the above terms and conditions of adopting for Willow Tree Sanctuary. Furthermore I understand that should I be in breach of the above terms and conditions my application will be terminated and I may be held liable (financially or otherwise) for any damage, death, illness or injury caused by or to my animal. *
When you press submit, it will take you to a new page that says 'Thank you'. If you press submit and the page scrolls to a different spot in the form, there is a field you have missed. Fields with a red Asterix * are required fields.

Thank you for allowing Willow Tree Sanctuary the chance to rehome your pet.

Willow Tree Sanctuary
Po Box 358 Byron Bay 2481
ABN: 88 971 771 757
INC Charity #: INC2001287