Relinquish wait list enrollment

Please share as much accurate infomation as you can. State Law makes it Manditory that only an owner can relinquish an animal.

First Name *
Last Name *
Phone Number *
Email *
Address *
Town *
State
Animal Name * Please type none if stray or has no name
Animal Type *
Breed *
Estimate birthday *
Size *
Fixed * if unknown put No
Description *
Behavior * anything with noting about animals personality
Surrender type * Please let us know why you are looking to rehome: moving, aggression,stray,
Reason for entry *
Animal Picture * Please Share pictures if possible. You have pictures of your animal in their normal happy state which can help us share how wonderful they are.
I am the Owner *

Submitting this form is the start of an application process. The ownership of the animal and responsibility of the animal is still with the owner until surrender forms are signed by both the legal owner and a shelter member. Due to the shelter environment submitting this form will only be part 1. Part 2 will be a temperament evaluation.