Lost Angels Animal Rescue, Inc.
Owner Surrender Form
We want you to be absolutely
sure of your decision to give up your pet.
Should you have any doubts or concerns regarding the surrender of your
pet, please ask one of the LAAR directors.
If your pet is having behavioral problems, we can help. Please ask – we have many resources. Lost Angels reserves the right to refuse to
accept any animal at any time. It is
YOUR responsibility to weigh the risks and benefits to your pet when surrendering
it. Lost Angels makes every effort to
ensure the animals we adopt are placed, not just anywhere, but with people who
will provide good care for the animal for the remainder of its life.
Once an animal has been
surrendered to Lost Angels, factors that determine how long an animal will be
available for adoption include but are not limited to: health and overall condition of the pet,
behavioral and training history, medical issues and, most importantly, their
behavior with Lost Angels. Please keep
in mind that surrendered pets go through a grieving period and detachment
phase. Some detach immediately and have
no problems adjusting. Other pets may
take weeks/months or may never detach from their owners and may then become
aggressive, destructive, sick or unmanageable.
The pet’s behavior while with Lost Angels is re-evaluated regularly with
respect to these factors.
Because
re-homing aggressive pets or pets with severe behavioral/medical problems is a
liability for Lost Angels, we WILL NOT AND CANNOT place these pets.
I am surrendering: ______Dog(s) ______Puppy(ies)
Pet’s
Name(s):____________________________________________________________________________
Breed/Mix:___________________________________
Color:____________________________________
Gender: ____Male
____Female Pet’s
Age:_______ Is pet spayed/neutered? ___Yes
___No
Reason for Surrender:_____________________________________________________________________
Can you provide a copy of
medical records for vaccines and heartworm status/preventative? ___Yes ___No
I understand the surrender fee
of $_____ is a non-refundable, mandatory fee, which will support the care of my
pet and other pets at Lost Angels.
I certify that I own the
animal(s) described above, and I hereby surrender all of my interest, if any,
therein to Lost Angels Animal Rescue. It
is expressly agreed that neither LAAR nor any of its directors/volunteers will
incur any obligation to me due to such disposition of such animal(s). I further state that this animal has NOT
bitten anyone, breaking the skin, in the past 10 days. I understand once my pet is surrendered, LAAR
will not return my pet to me if requested.
Once the pet is adopted, we cannot and will not disclose the adopter’s
name or contact information.
Owner’s
Name:__________________________________________________________________
Address:_______________________________________________________________________
City, State, Zip
__________________________________________________________________
Home phone: _____________ Cell phone:
________________ Work phone: ______________
Email address:
__________________________________________________________________
Lost Angels Animal Rescue, Inc.
www.lostangelsanimalrescue.org