Rabbit & Small Animal Rescue

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Surrender Application

It is of most importance that you think through your decision before filling out our surrender application. Please be serious in your intention to surrender a family pet. It is mandatory you include a valid phone number on the form and will we now require images of the pet & cage you wish to surrender.

We have certain surrender requirements. For instance, we require that animals come with their cages. In most cases, we also require a monetary donation to help us pay for your pet's care. In all cases, we require that you drop the animal off at one of our foster's homes. Please read about our surrender requirements here.

Your full name:
Street Address:
Street Address Line 2:
City:
State:
Are you at least 18 years old?
- Yes
- No
Phone number:
Email address:
We prefer to contact people using email because this is the easiest way to keep track of everything. However, because some people don't check their email, we request that you please specify how you would like to be contacted:
- Email
- Phone
- Either
What type of animal(s) are you surrendering?
- Rabbit
- Guinea Pig
- Hamster
- Gerbil
- Mouse
- Chinchilla
- Rat
- Bird
- Sugar Glider
- Hedgehog
- Other
If you are surrendering a rabbit, is the animal spayed/neutered?
Please describe the physical condition of the animal. Does it have any health problems, such as allergies, teeth problems, etc.? Health problems are rarely a factor in our decision about whether to take the animal. However, we have had animals die when we did not treat them because their former owners did not tell us about the condition. We also need to make plans to put the animal in a foster home that can appropriately care for the animal.
Is the animal currently in your care (as opposed to a friend's or family member's)?
- Yes
- No
If the animal is not currently in your care, please tell us who has the animal and how you are involved in the situation.
Is the animal in any danger, either from abuse or neglect? If yes, please explain.
Please describe the animal(s) you wish to surrender in detail. Include, name, age, breed, size, color, personality, etc.
Please tell us why you are surrendering your pet.
Do you agree to the rescue's surrender requirements?
- Yes
- No
Do you have any questions about the surrender requirements?
If RASA Rescue is able to take your animal, you will be required to sign all rights to the animal over to the rescue. Will you agree to sign your animal over to the rescue?
- Yes
- No
Please use this box to give us any other information or to ask questions.
Submit

Thank you for contacting us. We will get back to you as soon as possible

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After submission of form please send images of the pet and cage to rasa.rescue2019@gmail.com

Surrendering Guidelines

Email us at rasa.rescue2019@gmail.com!