Owner Surrender Request
We are so sorry you are facing this difficult decision. Please note, that submission of this request form does not guarantee or confirm pet intake to Aggieland Humane Society. We urge pet parents to exhaust all other resources and alternatives before surrendering their pet. This helps ensure the shelter resources are available to the pets that need it the most - those who are lost, displaced, homeless, injured, or sick.
Owner Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Preferred method of contact
Phone call
Text
Email
Back
Next
Animal Information
Pet's name
Type of pet
*
Dog
Cat
Other
Approximate Date of Birth
Has your pet ever bitten or scratched a human?
*
Yes
No
If yes, when did the bite or scratch occur?
-
Month
-
Day
Year
Date
Please describe the situation
*
Has this pet come in contact with wildlife within the past 45 days? Such as squirrels, skunks, possums, bats, etc.
*
Yes
No
If yes, please elaborate.
*
Gender of pet
*
Male
Neutered Male
Female
Spayed Female
Unknown
If Aggieland Humane Society could provide FREE sterilization services to your pet, would that help you keep your pet?
Yes, please contact me with information on this.
No, no thank you.
Does the pet have a microchip?
Yes
No
Unknown
Microchip number
Veterinarian clinic name
Veterinarian phone number
By providing this information you give consent for us to request medical records from your vet.
Where did you acquire this pet?
*
Please Select
Aggieland Humane Society
Facebook
Neighbor
Found as a stray
Online rehoming website
Other
Please specify:
How long have you had this pet?
*
Please Select
Less than 2 weeks
1-6 months
6-12 months
1-3 years
3-5 years
5+ years
Why are you looking to surrender this pet?
*
Finances: I cannot afford routine care.
Finances: I cannot afford emergency care.
Finances: I cannot afford pet rent.
Finances: I cannot afford pet food.
Finances: I cannot afford pet training.
Housing: I am currently unhoused.
Housing: the pet is not allowed where I live.
Pet behavior: this pet requires more training.
Pet behavior: this pet is too ____ for my family.
Pet behavior: the pet does not get along with other pets in my home.
Pet behavior: my other pets do not get along with the pet I need to surrender.
Medical: this pet has a medical condition that I cannot live with.
Non-pet related: I am going through a change-of-life cirumstance.
Something else...
If you selected something else, please explain:
*
Back
Next
Dog Surrender
Please answer the following questions about your dog.
Breed
Australian Cattle Dog (Heeler)
Border Collie
Boxer
Chihuahua
Dachshund
German Shepherd
Hound
Husky
Lab/lab mix
Pit Bull/Bully mix
Poodle (Small)
Poodle (Large)
Terrier
Yorkie
Other
If you are unsure, please choose the breed that more closely resembles your dog.
Other Breed:
*
Breed Group
Please Select
Sporting
Hound
Working
Terrier
Toy
Non-sporting
Herding
Unsure
Describe the pet's personality:
*
Friendly
Shy
Nervous
Playful
Rambunctious
Independent
Timid
Laidback
Affectionate
Dog friendly
Cat friendly
Kid friendly
Has personality quirks
Well trained
Other
How else would you describe them?
Does your dog allow others to handle or hold it? For example, vet visits, grooming, baths, visitors, etc.
*
Yes
No
Describe a typical day in the life of your pet.
What are the reasons you need to surrender your dog? Check all that apply.
*
Aggression to people
Aggression to other pets
Aggression to livestock
Behavior/anxiety
Destructive in the home
Cannot afford pet care
Moving and cannot take with me
Pet health issues
Allergies to pet
Doesn't get along with children
Something else
Please elaborate:
*
Back
Next
Cat Surrender
Please answer the following questions about your cat.
Describe the pet's personality:
*
Friendly
Shy
Nervous
Playful
Rambunctious
Independent
Timid
Laidback
Affectionate
Dog friendly
Cat friendly
Kid friendly
Has personality quirks
Well trained
Other
How else would you describe them?
Does your cat allow others to handle or hold it? For example, vet visits, grooming, baths, visitors, etc.?
*
Yes
No
Describe a typical day in the life of your pet.
What are the reasons you need to surrender your cat? Check all that apply.
*
Aggression to people
Aggression to other pets
Aggression to livestock
Behavior/anxiety
Destructive in the home
Cannot afford pet care
Moving and cannot take with me
Pet health issues
Allergies to pet
Doesn't get along with children
Something else
Please elaborate:
*
Back
Next
Other Pet
Please answer the following questions about your pet. Please be advised that we do not accept applications for reptiles, pigs or other livestock.
Species
*
Please Select
Guinea Pig
Ferret
Hamster
Gerbil
Mouse
Large Bird
Small Bird
Rabbit
Other
Other Species
*
Breed(s)
Describe the pet's personality:
*
Friendly
Shy
Nervous
Playful
Rambunctious
Independent
Timid
Laidback
Affectionate
Dog friendly
Cat friendly
Kid friendly
Has personality quirks
Well trained
Other
How else would you describe them?
Will you be bringing supplies, such as food, crates, toys, etc.? We will send these supplies with the adopter!
Does your pet allow others to handle or hold it? For example, vet visits, grooming, baths, visitors, etc.?
*
Yes
No
Describe a typical day in the life of your pet.
What are the reasons you need to surrender your pet? Check all that apply.
*
Aggression to people
Aggression to other pets
Aggression to livestock
Behavior/anxiety
Destructive in the home
Cannot afford pet care
Moving and cannot take with me
Pet health issues
Allergies to pet
Doesn't get along with children
Something else
Please elaborate:
*
Back
Next
To submit your interest...
Please note, that applications will only be kept for review for 30 days. If your pet is not accepted for adoption within 30 days, your application will be archived. At that point, if you are still seeking surrender assistance, you will need to re-apply.
Please attach an updated photo of your pet.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please attach your pet's veterinary records.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Please verify that you are human
*
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Should be Empty: