Silver Dragon Pets Surrender Application
If you need to surrender your pet, please fill out this surrender form completely. It’s important to be honest with your answers, as we use them to pair animals with foster homes and eventually adoptive homes. Copy/paste this form into an email and fill it out. When you’re done, please send it to [email protected] Please allow up to one week for a response as we see where space and funding is available.
Your Name:
Your Address:
Your City: State: Zip Code:
Your Email Address:
Your Phone Number:
Pet’s Name:
Pet’s Breed:
Pet’s Species:
Pet’s Age / DOB:
Pet’s Gender:
Is this pet spayed or neutered?
If so, can you provide veterinary proof?
Is this pet current on vaccinations?
If so, please include copies of veterinary paperwork
If not, when was the last time this pet was vaccinated?
For cats: Has this cat been FIV/FeLeuk tested?
If so, when and what were the results?
Can you provide veterinary proof of FIV/FeLeuk testing (with results) within the 14 days prior to surrender?
For cats: Is this cat declawed?
If so, front paws, back paws, or all four paws?
For dogs: Has this dog been heartworm tested?
If so, when and what were the results?
Can you provide veterinary proof of heartworm testing (with results) within the 30 days prior to surrender?
Does this pet have any medical issues we should be aware of (please be specific)?
Does this pet have any behavioral issues we should be aware of (please be specific)?
Does this pet have a bite history?
If so, has this pet bitten anyone within the last 30 days?
If yes, please explain:
Is this pet housebroken?
Is this pet crate trained?
Where is this pet accustomed to living during the day?
Where is this pet used to sleeping at night?
Has this pet been around children?
If so, what ages, and how did the pet respond?
Has this pet been around dogs?
If so, how many, what sizes, and how did the pet respond?
Has this pet been around cats?
If so, how did this pet respond?
Has this pet been around small pets (rabbits, hamsters, ferrets, etc.)?
If so, how did this pet respond?
Has this pet been around farm animals (chickens, goats, horses, cattle, etc)?
If so, how did this pet respond?
Why are you looking to surrender this pet (please be specific)?
Will you be providing any of this pet’s personal belongings upon surrender (bed, toys, scratching post, cage, leash, etc.)?
If so, what? Please include cage dimensions for caged animals.
How soon do you need to surrender this pet? There may be a waiting list for an available foster home.
Would you like your name, phone number, and/or email address released to the person who adopts this pet?
We make no guarantees they will contact you. Sharing this information is completely voluntary (not required) but could offer an open line of communication.
Describe the perfect home for this pet, and what makes it perfect:
Please use this space to share any other information you can about this pet:
When was the last time this pet had flea/tick prevention?
Does this pet currently have any known or suspected communicable illnesses or parasites (fleas, ringworm, kennel cough, upper respiratory infection, parvo, mites, mange, snuffles, bumblefoot, coccidiosis, etc.)?
If not, has this pet been exposed to any of these in the past three weeks?
Are you the legal owner of this animal?
Does anyone else have legal ownership of this animal?
If yes, who? And are they also available to sign the surrender contract?
How long have you owned this animal?
Where did this pet originally come from?
Are you prepared to pay a surrender fee to help with the expenses of this pet while in our care?
Are you able to meet a volunteer in or around Brainerd, Little Falls, or Staples to surrender this pet?
If no, how close to one of these cities can you get to meet a volunteer?
Are you at least 18 years old and able to sign a legally binding contract?
Do you understand that submitting this form does not guarantee that Silver Dragon Pets will accept your surrender?
Do you understand that if your application is accepted, you will be giving up any and all legal ownership of this pet, permanently?
Do you agree that all of the answers provided on this form are true and accurate?
If you have multiple animals you’d like to surrender, please fill out a separate form for each.
Silver Dragon Pets does not accept venomous snakes, large reptiles, wildlife, strays, hooved livestock, or exotic animals requiring a permit to own. Silver Dragon Pets reserves the right to deny any surrender at our discretion. Please understand that there may be a waiting list to surrender due to limited space and finances. By surrendering your pet to Silver Dragon Pets, you are giving up all ownership rights to the animal(s) being surrendered. We can pass your information along to the person who adopts the animal you surrendered, but that is not a guarantee they will reach out to you. We do not give out adopter's information.
Your Name:
Your Address:
Your City: State: Zip Code:
Your Email Address:
Your Phone Number:
Pet’s Name:
Pet’s Breed:
Pet’s Species:
Pet’s Age / DOB:
Pet’s Gender:
Is this pet spayed or neutered?
If so, can you provide veterinary proof?
Is this pet current on vaccinations?
If so, please include copies of veterinary paperwork
If not, when was the last time this pet was vaccinated?
For cats: Has this cat been FIV/FeLeuk tested?
If so, when and what were the results?
Can you provide veterinary proof of FIV/FeLeuk testing (with results) within the 14 days prior to surrender?
For cats: Is this cat declawed?
If so, front paws, back paws, or all four paws?
For dogs: Has this dog been heartworm tested?
If so, when and what were the results?
Can you provide veterinary proof of heartworm testing (with results) within the 30 days prior to surrender?
Does this pet have any medical issues we should be aware of (please be specific)?
Does this pet have any behavioral issues we should be aware of (please be specific)?
Does this pet have a bite history?
If so, has this pet bitten anyone within the last 30 days?
If yes, please explain:
Is this pet housebroken?
Is this pet crate trained?
Where is this pet accustomed to living during the day?
Where is this pet used to sleeping at night?
Has this pet been around children?
If so, what ages, and how did the pet respond?
Has this pet been around dogs?
If so, how many, what sizes, and how did the pet respond?
Has this pet been around cats?
If so, how did this pet respond?
Has this pet been around small pets (rabbits, hamsters, ferrets, etc.)?
If so, how did this pet respond?
Has this pet been around farm animals (chickens, goats, horses, cattle, etc)?
If so, how did this pet respond?
Why are you looking to surrender this pet (please be specific)?
Will you be providing any of this pet’s personal belongings upon surrender (bed, toys, scratching post, cage, leash, etc.)?
If so, what? Please include cage dimensions for caged animals.
How soon do you need to surrender this pet? There may be a waiting list for an available foster home.
Would you like your name, phone number, and/or email address released to the person who adopts this pet?
We make no guarantees they will contact you. Sharing this information is completely voluntary (not required) but could offer an open line of communication.
Describe the perfect home for this pet, and what makes it perfect:
Please use this space to share any other information you can about this pet:
When was the last time this pet had flea/tick prevention?
Does this pet currently have any known or suspected communicable illnesses or parasites (fleas, ringworm, kennel cough, upper respiratory infection, parvo, mites, mange, snuffles, bumblefoot, coccidiosis, etc.)?
If not, has this pet been exposed to any of these in the past three weeks?
Are you the legal owner of this animal?
Does anyone else have legal ownership of this animal?
If yes, who? And are they also available to sign the surrender contract?
How long have you owned this animal?
Where did this pet originally come from?
Are you prepared to pay a surrender fee to help with the expenses of this pet while in our care?
Are you able to meet a volunteer in or around Brainerd, Little Falls, or Staples to surrender this pet?
If no, how close to one of these cities can you get to meet a volunteer?
Are you at least 18 years old and able to sign a legally binding contract?
Do you understand that submitting this form does not guarantee that Silver Dragon Pets will accept your surrender?
Do you understand that if your application is accepted, you will be giving up any and all legal ownership of this pet, permanently?
Do you agree that all of the answers provided on this form are true and accurate?
If you have multiple animals you’d like to surrender, please fill out a separate form for each.
Silver Dragon Pets does not accept venomous snakes, large reptiles, wildlife, strays, hooved livestock, or exotic animals requiring a permit to own. Silver Dragon Pets reserves the right to deny any surrender at our discretion. Please understand that there may be a waiting list to surrender due to limited space and finances. By surrendering your pet to Silver Dragon Pets, you are giving up all ownership rights to the animal(s) being surrendered. We can pass your information along to the person who adopts the animal you surrendered, but that is not a guarantee they will reach out to you. We do not give out adopter's information.