Surrender Enquiry Form

Please read about Surrendering before completing

Full Name

Street Address

Suburb/Town

Phone

Details of your Pet

Are you the legal owner?

Is this a request for the Last Litter Programme? (If so, please complete this form in respect of the puppies/kittens and provide details of the mother dog/cat at the end of the form).

Pet Name

Species

Breed

Sex

Age

Is your pet desexed?

Is your pet microchipped?

Microchip Number

Current Vet

From where did you obtain your pet, how long have you had them?

Why do you need to surrender your pet? Please provide as much detail as possible including the timeline if applicable.

Does your pet have any medical issues?

Does your pet have any behavioural issues?

How is your pet with other animals including dogs, cats, livestock, small animals (rabbits etc)

How is your pet with strangers? How are they with children (and would you recommend an age limit)?

Describe any training the pet has had (including details of the professional trainer if applicable)

Is there anything else you would like us to know?

Please upload a photo of your pet

I confirm that I am over the age of 18

ARCH, Animal rescue coffs Harbour, adopt, foster