Surrender Form
First name
*
Surname
*
Address
*
Phone number
*
Email Address
*
Confirm email
Name of animal/s
*
Age of animal/s
*
Species and breed of animal/s
*
Gender of animal/s
*
Male
Female
How long have you had the animal/s and where did you get them from?
*
Reason for rehoming
*
Is your animal neutered?
*
Yes
No
N/A
Is your animal microchipped?
*
Please send your pet's microchip number along with pet's name and your name to 07990728077
No
Yes
Date of last flea treatment
Date of last worm treatment
Date of last vaccinations
Any health concerns?
*
Name of current vet practice?
*
What food (including brand) is your animal currently eating?
*
Please include wet food, dry food, treats and feeding schedule.
Is your animal litter trained?
*
Yes
No
N/A
When did the animal last see a vet?
*
Please give us details on your animal’s behaviour, including any issues with handling, nervous behaviour, excitability, noise aversions, furniture scratching, swiping, friendly, playful, affectionate etc
*
Is the animal ok to be picked up and handled?
*
No
Yes
Is your animal indoor or outdoor?
*
Indoor
Outdoor
Both
N/A
Can your animal live with
*
Cats
Dogs
Kids
N/A
If applicable, please give us behaviours around cats, dogs and kids
*
If they can live with children, what would be the minimum age?
*
Do you confirm to send a picture of your animal to info@minibeastsrescue.co.uk?
*
No
Yes
I confirm that the information recorded in this form is correct and up to date, to the best of my knowledge. I understand that Mini Beasts Rescue reserve the right to withdraw the space offered, if I have been deliberately untruthful or dishonest about the behaviour and/or medical status of the animal.
*
No
Yes
I understand that I will need to make arrangements to transport the animal/s to the foster home in Buckinghamshire, and that Mini Beasts Rescue are unable to help with the collection of animals unless in extreme emergencies.
*
No
Yes
Do you agree to handover full ownership responsibility of the animal/s to Mini Beasts Rescue? This includes (but is not limited to) decisions on suitable foster placements, medical intervention, diet and future adopters.
*
No
Yes
I understand that Mini Beasts Rescue will provide an update via text/WhatsApp/email if requested, however ongoing updates (including once the animal has been adopted) cannot be provided.
*
No
Yes
I confirm that I understand the animal will not be adopted back to the owner who surrendered them.
*
No
Yes
I confirm that I am the owner of the animal (for microchipped animals this means the name listed as owner on the database) being surrendered.
*
No
Yes
If applicable, I confirm to send over up to date medical records to Mini Beasts Rescue
*
No
Yes
Where did you hear about Mini Beasts Rescue?
*
Please print your full name to confirm completion and acceptance of the points in this form.
*
Please sign
*
Clear
Have you, or will you, be approaching other rescues/sources to assist? We ask you to please let us know if an alternative home is found before we are able to help.
*
No
Yes
