Please answer these questions to the best of your abilities.

Please note that we require a photo of the animal you wish to surrender, for breed
verification. Please send this photo to ffr@fuzzyfriendsrescue.com
Yes, I understandNo, I don't understand

(required)

If you do not receive a response within two business days then our intake is full. Please
refer to the list below:
➢ http://www.dogpack.com/directory/txnokill.htm
➢ http://nokillnetwork.org
➢ http://forgottenfriendstx.org/
➢ http://www.dfwcares.org/
➢ http://texassweetiesdogrescue.org/
➢ http://www.operationkindness.org/
➢ http://maziesmission.org/
➢ http://centexlostpets.org

Yes, I understandNo, I don't understand

(required)

Surrender Fees

Owner Surrender : Individual Animal = $95

Stray Surrender : Individual Animal = $50

*Please note, due to rising costs for heartworm treatment and rising numbers of heartworm
positive dogs, there is an additional $250 fee to surrender a dog who tests positive for heartworms.
If the dog is 6 months old or older, a heartworm test must be done prior to surrender. Heartworms
are deadly but preventable – please check with your vet about the best options for keeping your
pets heartworm-free.

Yes, I understandNo, I don't understand

(required)

Yes, I am able to pay the surrender fee if space is available.No, I am not able to pay the surrender fee if space is available.

(required)

Date (required)

What type of animal are you surrendering? (required)
DogCat

What is the pet’s name? (required)

What gender? (required)
MaleFemale

The animal is: (required)
OwnedStray

How long have you had this animal? (required)

Was this animal adopted from Fuzzy Friends? (required)
YesNoI don't know

If yes, what year was the animal adopted?

If not from Fuzzy Friends, where did you originally get this animal? (required)

Primary Breed

Secondary Breed

If purebred, papers? (required)
YesNo

Spayed or Neutered? (required)
YesNo

Weight (required)

Age (required)

Color (required)

Are they housetrained? (required)
YesNoPartially

What is the reason you are giving up this pet? (required)

Is the animal friendly? (required)
YesNo

Is the animal shy/scared? (required)
YesNo

Is the animal aggressive? (required)
YesNo

Describe the animal’s personality (required)

Current on shots? (required)
YesNo

On Heartworm Prevention? (required)
YesNo

Please list the veterinarian’s name and phone number that has seen this animal (required)

Does this animal have health problems? If yes, please explain (required)

Has this animal ever bitten anyone? (required)
YesNo

Does this animal dig out of yards? (required)
YesNoN/A

Does this animal climb fences? (required)
YesNoN/A

Does this animal like dogs? (required)
YesNoN/A

Does this animal like cats? (required)
YesNoN/A

Does this animal like children? (required)
YesNoN/A

Does this animal like men? (required)
YesNoN/A

Does this animal like women? (required)
YesNoN/A

Name of person surrendering animal (required)

Primary phone (required)

Email address (required)

If space is available are you able to pay the surrender fee? (required)
YesNo

Are you able to send a photograph? (ffr@fuzzyfriendsrescue.com) (required)
YesNo

Are you able to donate any additional funds? (required)
YesNo