Owner Surrender to the Furry Farm Rescue

Name of Animal

Type of Animal

Please list breed, if known

Sex of Animal

Age of Animal

Is he/she spayed or neutered?

Approximate weight?

Are they up to date on Rabies?

Up to date on Vaccines, such as DHPPV?

Please describe your animal's behavior and what is happening that brought you to seek surrender assistance.

Have they ever bit or injured a human?

Any additional information you would like to provide at this time

Time frame you are needing help.

Please feel free to upload a picture of your pet in need

It is understood that The Furry Farm Rescue does not buy nor pay for animals. This is a service to help place animals in new homes when their present owners can no longer keep them. This service is free, however a donation to help pay for expenses is appreciated. Most of the animals we handle are from animal shelters and require considerable expenses prior to adoption. Everyone associated with The Furry Farm Rescue are volunteers.

The information that I have provided regarding the previously mentioned animal is true and complete. I hereby forever release, discharge and agree to hold harmless and indemnify to The Furry Farm Rescue, its board of directors, its members, officers, and agents, past, resent, and future from all claims, demands, actions, causes of action, and/or liability of any kind whatsoever arising as a result of/or in connection with the adoption/or other disposition of the above named animal.

I understand that this is only an application for Owner Surrender, not guaranteed placement, and at the time of intake assessment The Furry Farm Rescue will ask me to complete an Owner Surrender Contract if they agree to accept my animal into the program. I further understand and agree that I received no money or other compensation as a result of this surrender.

If you have any further information or questions, please email us at ffr@thefurryfarmrescue.org