Surrender Enquiry Form

Read surrender Info.

Please read about Surrendering before completing

Full Name

Street Address

Suburb/Town

Phone

Details of your Pet

Are you the legal owner?

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

I am the legal owner of this animal

No other person has any proprietary interest in this animal or, if any other person has such an interest, they have authorised me to surrender the animal

I agree to indemnify Animal Rescue Coffs Harbour (ARCH) and keep ARCH indemnified against all claims (if any), cost and expenses whatsoever arising out of any action by any person claiming an interest in the animal

I understand that, if I surrender the animal to Animal Rescue Coffs Harbour it, no longer belongs to me

ARCH, Animal rescue coffs Harbour, adopt, foster