Rehoming Application

PLEASE NOTE: Please fill out for reviewal by our Animal Care Team. Please note that we take animal surrenders in by appointment only and a surrender fee does apply.

Date*
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Are you filling this application out for yourself or on behalf of a friend/family member?*
- Myself - I am the primary owner of the animal
- Friend / Family Member
Animal Information
Name of Pet*
What is the pet's breed?*
What is the pet's age?*
What is the pet's sex and is it neutered or spayed?*
Reason for surrender?*
Have they ever bit or nipped another person or animal? If so, please describe the circumstances*
When was your last vet visit? What clinic did you use and for what purpose did you see the vet?*
Who has your pet lived with? (ex. children, other animals, just adults) Can you describe their interactions with children, other dogs or cats?*
Is your pet housetrained? If they have accidents inside the house please describe these situations.*
Does your pet have any behaviour or medical concerns we should be aware of? If so, please go into detail about your pet’s medical/behaviour history.*
Anything else you think we would need to know in order to adopt the pet out, i.e. special needs?*
To complete your application please include animal photos.*
- I acknowledge that I understand that photos are needed to complete this application
- I am unable to send any photos
Indicate that you have read and understood the requirement to send photos to complete your application.
Upload Photos
Max. file size: 64 MB.
Please include photos of animal. If unable to upload please email [email protected]
Name
This field is for validation purposes and should be left unchanged.

Rehoming Application

Rehoming Application

Animal Information

Peterborough
Humane Society

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