First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Cell Phone*
Alt Email
PLEASE READ BEFORE FILLING OUT THIS FORM: Before SWAT can help you rehome your pet, it must be spay/neutered and have veterinarian documents that it has a current Rabies vaccination. There are NO exceptions. This information must be verified before any action will be taken on your Rehoming request. You may email that information, along with your name and your pet's name to SWATbox44@gmail.com
What have you been calling this animal?
Please give a brief description of the animal; age, weight, breed?*
What is the gender of the animal?* Choose one: Male Female
Pet is spay/neutered
The animal is up to date on the following vaccinations (Veterinarian records available)
Do you know if this animal is good with:
Please tell us how long you've had this pet and why you feel like you must surrender him/her at this time.*
Please tell us anything about the pet that will help us write their story and find them a new home.
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) which is/are the subject of this Animal Surrender Form, hereinafter referred to as “the animal.” I hereby surrender any and all property rights to the animal. I certify that no other person has a right of property to the animal. I understand that by surrendering my property rights to the animal, the animal may be transferred into the custody of an animal rescue or shelter. I also hereby certify that the animal has/has not [circle one] bitten or scratched a human or another animal within the past 10 days. I understand that once I relinquish the animal, the animal will not be available to be returned. I further certify that I have read and understand the terms of this Animal Surrender Form.
By entering your electronic signature, you are verifying that all of the information entered on the surrender application is correct. You understand that your pet must be spay/neutered and up to date on vaccinations prior to receiving rehoming assistance from SWAT. Our rehoming services are not guaranteed. We will place your pet on our internet sites with the information you provide along with your contact information. We will require interested parties to fill out a SWAT adoption application so we can track your pet to make sure he/she has found a great family. We suggest that you collect an adoption fee, usually between $10 and $35. "Free to good home" is rarely a good option for rehoming pets. SWAT takes no responsibility for misinformation provided concerning the behavior or temperament of your pet. Please be completely honest with adopters. You will be responsible for taking your pet back should the adoption back out within the first 10 days. For more information, please read the rehoming agreement under "Forms and Applications."*
Partners in rescue: http://www.bissell.com/