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*
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.*
Anything else you think we would need to know in order to adopt the pet out, i.e. special needs?*
Add photo(s)
Drop files here or

Accepted file types: jpg, gif, png, pdf, img, mp4, Max. file size: 1 GB, Max. files: 5.
Please upload recent photos of pet.

Rehoming Application

Rehoming Application

Animal Information

Peterborough
Humane Society

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