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Adopt
Animals to Adopt
Dogs for Adoption
Cats for Adoption
Birds for Adoption
Reptiles for Adoption
Other Animals for Adoption
Process/Applications
Dog Adoption Application
Cat Adoption Application
Bird Adoption Application
Reptile Adoption Application
Other Animal Adoption Application
Love Stories
Support
Ways to Support
Foster
Foster Application
Volunteer
Volunteer Application
Donate
Medical Campaigns
Resources
Animal Resources
Animal Surrender
Programs
Sanctuary Animals
Clinic / Location
Events
Store
About Us
All About Us
FAQs
Contact Us
Surrender Application
Please enable JavaScript in your browser to complete this form.
Basic Information
-
Step
1
of 2
Owner Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Phone
*
Animals Name/Nickname:
Type of animal:
*
Choose Answer
Cat
Dog
Bird
Reptile
Small Mammal/Other
Animals Age:
Sex:
Choose Answer
Male
Female
Unknown
Animal Breed(s):
Is this Animal Spayed/neutered?
*
Choose Answer
Yes
No
Unknown
Does this animal have a microchip?
Choose Answer
Yes
No
Unknown
Microchip Number:
Why are you surrendering this animal?
*
Next
Where did you originally acquire this animal?
How long have you owned this animal?
What type of enclosure is this pet currently living in? (Please Explain)
*
Is this pet currently living indoors or outdoors?
Choose Answer
Indoor
Outdoor
Both
Is this animal hand tame?
*
Choose Answer
Yes
No
Slightly
Other
Please Explain:
What other animals does this animal currently live with or comfortable with?
*
What type of food is this animal currently eating?
*
Does this animal have (or has had in the past) any known medical issues?
*
Choose Answer
Yes
No
Unknown
Please explain:
*
Is this animal currently on any medications?
*
Choose Answer
Yes
No
Unknown
Please explain:
*
Does this animal have any known behavior issues?
*
Choose Answer
Yes
No
Unknown
Please explain:
*
Is there anything else you would like us to know about the animal?
Are there any pictures that you can provide us of the animal?
Click or drag files to this area to upload.
You can upload up to 5 files.
Would you like to receive pictures/updates on this animal?
Choose Answer
Yes
No
I agree that all information submitted on this application is true and accurate. I understand that if I adopt an animal from One Love, this form will become part of the adoption record. By submitting this application I consent to receiving emails from One Love Animal Rescue and am aware that I can unsubscribe to these emails at any time.
*
Today's Date:
*
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