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Surrender Application
We understand that deciding to surrender your animal is difficult decision. Surrendering to SPAAR is a three-step process.
This short form is the first step in that process. It will help us to determine if we are be able to assist you with re-homing your pet.
Once you complete this form, a SPAAR representative will contact you within five business days. If we have available space in our rescue, we will ask you to answer a few more specific questions about your pet.
If we do have a suitable foster home available, a SPAAR representative will arrange to meet you and your pet in person. Completion of this form does not guarantee that SPAAR will be able to assist you, but it is the first step in the process.
Note:
To qualify, you must l
ive near Pittsburgh, PA (i.e. within two hours driving distance or within a 130-mile radius).
Contact Information
*
Indicates required field
Is your pet a dog over eight years of age or a cat over ten years of age?
*
Yes
No
If you answered "No" to the above question, your pet does not fit the necessary criteria to be surrendered to SPAAR. While we would love to be able to help all pets looking for new homes our resources are limited and we are focused on those at or above the ages listed.
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
I prefer to be contacted by
*
Phone
Email
What time of day do you prefer to be contacted?
*
Morning
Afternoon
Evening
How did you hear about SPAAR?
*
Animal Information
Animal Name
*
Animal Type (For example, dog or cat.)
*
Animal Breed (For example, beagle.)
*
Animal Size
*
Extra Small
Small
Medium
Large
Extra Large
Sex (For example, male or female.)
*
Age/Date of Birth
*
Are you this animal's owner?
*
Yes
No
If "yes," are you able to provide any proof of ownership?
*
Why are you surrendering this animal? (Be specific and honest.)
*
Is this animal currently spayed/neutered?
*
Yes, (If “yes,” SPAAR requires spay/neuter certificate or confirmation from the vet who completed the procedure.)
No
If "no," explain reason(s) why:
*
Is this animal current on vaccinations?
*
Yes, (If “yes,” list names and dates of vaccinations. SPAAR will require proof.)
No
Current vaccinations include:
*
If “no,” explain reason(s) why:
*
Does this animal have any medical conditions or issues?
*
Yes
No
If “yes,” list and describe:
*
Does this animal have any behavior issues?
*
Yes
No
If “yes,” list and describe:
*
This animal has lived successfully with or is known to get along with
*
Large Dogs
Small Dogs
Cats
Children under 10
Small Animals (hamsters, rats, mice, guinea pigs etc...)
Where is the animal kept when left alone?
*
On average how many hours a day is the animal left alone?
*
Does the animal chew or become destructive in any way when left alone?
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If SPAAR is able to assist with medical expenses, food, or behavior training, would you consider keeping this animal?
*
Yes
No
Disclosure Information
By submitting this surrender application, I agree that all information I have provided is comprehensive and true to the best of my knowledge. I understand that any misrepresentation may affect SPAAR’s ability to help this animal. If, for any reason, the information I have provided changes, I will immediately contact SPAAR and update the contents of this application. I understand that the submission of this application does not guarantee that SPAAR will take possession of this animal. SPAAR agrees to keep all information provided on this application private and confidential.
By clicking yes you acknowledge that you have read the above disclosure statement and that you have complete the above form truthfully to the best of your knowledge.
*
Yes
No
Date
*
Submit
