North Qld Animal Rescue Surrender Application

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(* indicates mandatory fields)

First Name *
Surname *
Mobile Phone *
Email Address *
How did you hear about NQAR
Name of pet being surrendered?
Suburb where pet is currently housed? *
Cat or Dog? *	Cat Dog
Breed of animal? *
Age of your pet *
What vet work has your pet had done? (please select all that apply) *	Desexed Microchipped Vaccinated (within last year) Wormed
If your pet has been microchipped, is he/she chipped to you?
What is your pets microchip number?
Describe your pets personality *
Are there any health conditions or previous serious medical issues *
Has your pet ever had any behavioral issues? Ie agression towards children, other animals? Escaping? Barking? *
Is your pet good with (please select all that apply)	Cats Dogs Poultry Livestock Small animals Kids
Any further comments
What is the reason for re-homing your pet? *
Please upload a current photo of the pet *
Photo 2
Photo 3
By typing your name below you are electronically signing this agreement to acknowledge your acceptance of the following terms and conditions: - I understand that if/when I am offered a place for my pet with NQAR I will be surrendering ownership of the animal to North Qld Animal Rescue Inc. - I agree to hand over all vetting and ownership records to NQAR and sign over any microchips. - I understand that NQAR will not disclose my pets new owners details or location to me. - I understand NQAR is a volunteer organisation and they are not required to provide ongoing updates on the welfare of my pet. However inital updates will be passed along if provided by the new owners
By typing your full name in this box you are electronically signing this document and your agreement to be bound by the terms and conditions *

Please e-mail a couple of different photos of your pet to rehoming@nqar.org.au so that we can proceed in finding a suitable foster carer.