SURRENDER FORM

Owner Name *

First

Last

Phone Number *

Email *

Street Address *

City, State *

All surrenders must be dropped off at our property in Durham, NC. Are you able to drop off your pet(s)? *

We are typically unable to pick-up. Exceptions are occasionally made in the case of special circumstances, but it is very rare.

What is the name of the pet you'd like to surrender? *

If you'd like to surrender multiple animals, they can all be listed here.

What is the species of the animal(s) you'd like to surrender? *

How old is the animal? *

What is the sex of the animal? *

How long have you owned the animal? *

Where did you obtain your pet? *

Does your pet have any known health issues? *

What type and size of enclosure was your pet kept in? *

What heating and/or lighting was your pet provided with? *

Was this pet kept alone or with another animal? *

What type of substrate was your pet provided with? *

What is the reason for surrender? *

Has your pet been provided with any supplements? If so, what kind? *

Examples: Calcium with D3, Calcium without D3, Multivitamin