Small Animal Re-homing Form

First Name

Last Name

Street Number

Unit Number (if applicable)

Street Name

City

Postal Code

Email Address

Phone Number

Your Small Animal's Name

Breed

Pet's Age

Colour

Sex Sex Male Female

Spayed or Neutered Spayed or Neutered Yes No

How long have you owned the small animal?

Please describe all behavioural issues

Where did you get the small animal?

Reason why you wish to surrender (please be as specific as possible)

How is the small animal with children?

How is the small animal with strangers?

Has the small animal ever bitten anyone? Has the small animal ever bitten anyone? Yes No

Is the small animal litter boxed trained? Is the small animal litter boxed trained? Yes No

Health Issues?

What type of food do you feed your small animal?

Has the pet ever seen a vet? If so, for what reason?