Stray Animal Form

This form is used for individuals dropping off stray animals

Name and Address
First name *
Last name *
Address *
Zip Code *
Phone Number *
Email Address
Features
Animal`s Name
Sex *	Male Female Unknown
Species *	Cat Dog
Breed
Color *	Amber Black Black and Brindle Black and Brown Black and Tan Black and White Black Tortie Blue Blue Tortie Brindle Brindle and Black Brindle and White Brown Brown and Black Brown and White Calico Chocolate Chocolate Tortie Cinnamon Cinnamon Tortoiseshell Cream Diluted Tortie Fawn Fawn Tortoiseshell Ginger Ginger and White Golden Green Grey Grey and White Light Amber Lilac Lilac Tortie Liver Liver and White Orange Ruddy Seal Silver Sorrel Sorrel Tortoiseshell Tabby Tabby and White Tan Tan and Black Tan and White Tortie Tortie and White Tricolour Various White White and Black White and Brindle White and Brown White and Grey White and Liver White and Tabby White and Tan White and Torti Yellow and Grey
Date Found *
Address/Area Found *
Have you given the animal any food? If so, what did you give them and how much? *
How did the animal act around you? Were they friendly, shy, scared, etc.? *
Comments
You are bringing a stray animal to the Humane Society of Barron County, Inc. There are several points about which we would like to inform you. Please check each box after reading each statement to ensure us that you have read and understand the stray surrender statement.
*	HSBC does not guarantee that all surrendered animals will be made available for adoption.
*	If an animal is made available for adoption, there is no guarantee that the animal will be placed in a new and permanent home.
*	HSBC has the right to advertise this animal, using their name, age, and breed description on local radio stations, area newspapers, and social media.
	You are relinquishing all rights to ownership of the animal. In signing you authorize HSBC to make the final decision on the disposition of the animal, whether it be adoption or transfer to another shelter/rescue group.
*	If you would like to adopt the animal later on, you will follow the same adoption procedures as any potential adopter. After the adoption application is filled out, the shelter staff will determine if the placement of said pet is appropriate. The adoption fee will be paid and said animal will be spayed or neutered in accordance with shelter policy.
I have read and understand the terms of this stray surrender statement. I understand that the HSBC will become the sole owner of the animal(s) and may care for the animal(s) as HSBC sees fit. To the best of my knowledge this animal has not bitten anyone. *	Clear