Adopt
Adopt a Pet
Working Class Cats
End of Life Home
Our Stories
Pet Library
About
Our Story
Our Mission
The Pet Rescuers
Our Blog
Media and Awards
Contact Us
Get Involved
Volunteering
Foster Care
Careers
Fundraise
Bequest
Wishlist
Corporates
Corporate Volunteering
Paws at Work
Our Sponsors
Sponsorships
Our Ambassadors
Vet Services
Veterinary Services
Meet the Team
Grooming Services
Services
Safe House For Pets
Boarding Cattery
Outreach Program
SCAR Pet Food Pantry
Wedding favours
Surrendering
Animal Training
1-on-1 Dog Training
Puppy Pre School
Puppy Primary School
Events
Shop
Donate
0
Search
No products in the cart.
Animal Surrender Form
Animal Surrender Form
Owner’s Details
First Name
*
Surname
*
Mobile phone number
*
Address
Address
Address
Address
Suburb
Suburb
Local Council
Local Council
Post Code
Post Code
Email Address
*
Animal’s Details
Pet’s Name
*
Breed
*
Sex
Male
Female
Desexed:
Y
N
Age / Date of Birth
*
Microchip Number
*
Reason for surrender
*
Where did you get your pet from?
How long have you had your pet?
Does your pet live with other animals?
Is your pet registered with your local council?
*
Yes
No
What is the registration / tag number?
When was your pet's last vet check
*
When was your pet's last vaccination?
*
Please provide your pet's vet history
Drop a file here or click to upload
Choose File
Maximum file size: 67.11MB
How does your pet usually behave towards the following?
Familiar people & Older Children
Avoids
Soft Approach
Seeks Interaction
Pulls Towards
Barks
Growls
Tail Wagging
Unfamiliar People & Older Children
Avoids
Barks
Growls
Pulls Towards
Tail Wagging
Soft Approach
Seeks Interaction
Children under 8 years
Avoids
Barks
Growls
Pulls Towards
Tail Wagging
Seeks Interaction
Soft Approach
Familiar dogs
Avoids
Barks
Growls
Tail Wagging
Pulls Towards
Soft Approach
Seeks Interaction
Unfamiliar Dogs
Avoids
Barks
Growls
Tail Wagging
Pulls Towards
Seeks Interaction
Soft Approach
Cats
Avoids
Barks
Growls
Tail Wagging
Pulls Towards
Seeks Interaction
Soft Approach
Does your pet have any past or present medical conditions?
Yes
No
Details if yes
Is your pet currently (or should it be) on any medications?
Yes
No
If yes, what medication?
DOGS ONLY
Does your dog display any of the following behaviors? And describe:
Has your dog ever bitten another dog or human?
Yes
No
Please specify:
Has your dog ever been bitten by another dog?
Yes
No
Please specify:
Excessive barking?
Yes
No
Please specify:
Destructive behaviors (such as digging/barking)?
Yes
No
Please specify:
Escapes yard or enclosure?
Yes
No
Please specify:
When left home alone, what do they do?
Sleeps/ Lies Down
Barks/Howls
Is destructive
Toilets inside/inappropriately
CATS ONLY
Does your cat display any of the following behaviors? And describe:
Spraying (urine)?
Yes
No
please specify:
Defecating (faeces) in areas other than the litter tray?
Yes
No
please specify:
Destructive behaviors (clawing, chewing)?
Yes
No
please specify:
Please upload a photo of your pet (if this gives an error message please contact surrender@secondchanceanimalrescue.com.au
*
Drop a file here or click to upload
Choose File
Maximum file size: 67.11MB
Any other comments?
How long can you keep the animal?
*
Are you in the position to assist with the veterinary or administrative costs to prepare your animal for adoption?
*
Surrender Declaration
Declaration
*
I am the owner of the above mentioned animal and declare that no other person has any property interest therein.
I confirm that this animal has not been declared dangerous and there are no outstanding fines, complaints or local council orders with regard to this animal.
By signing below, I certify that the information I have provided is accurate and truthful to the best of my knowledge.
I understand that if Second Chance Animal Rescue can take my animal in a surrender fee will be involved, this amount will be discussed at the time of the surrender appointment.
Is the animal microchipped in your name?
Yes
No
Declaration
*
This animal is microchipped and I understand that should Second Chance Animal Rescue be able to take my animal that I give permission to change the microchip ownership details into THEIR name or any NEW OWNERS name as they see fit. I understand that SCAR will be charged and will pay for the change of ownership fee charged by the microchip registry.
Submit
If you are human, leave this field blank.
Back To Top
