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Pet Surrender Form
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Steps
1.
Owner Profile
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2.
Pet Behavior
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Owner Profile
First Name
Last Name
Daytime Phone
*
Email address
Are you an Iredell County resident?
Yes
No
STOP HERE - You must contact the county organization in which you reside!
OK
Physical Address
*
City
*
State
*
Zip
*
Pet's name
*
Sex
*
-- Select One --
Male
Female
Has this pet had surgery to prevent reproduction?
*
-- Select One --
Yes, my pet has been fixed.
No.
Pet's age
*
Type Animal
*
-- Select One --
Cat (Friendly)
Cat (Feral)
Dog
Other
Breed
*
Where did you get your pet?
*
Why are you surrendering this pet? Be specific.
*
Continue
Pet Behavior
Check these boxes if:
Your animal is a danger to people or other animals
Your animal has a medical condition and is suffering
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