Surrender Form

Date

First and Last Name

Address

City, State and Zip

Phone Number

Email Address

Name of Animal(s), Sex, Age, Breed and Weight

Veterinarian name

Heartworm status (current on preventative, been tested or unknown)

Reason for surrendering:

Please share any other information that will help place this animal in a forever home:

I hereby relinquish all ownership rights to the animals described here to the custody of APET for disposition according to their discretion. I certify said that this animal hasn’t bitten anyone during the last 14 days to my knowledge. I will make no inquiry about the animal after I have signed this release.

Optional email address

Surrender ApplicationAPET Animal Shelter 657 CR 2840, Mineola, Texas 75773 903-638-6902

Surrender Application
APET Animal Shelter 657 CR 2840, Mineola, Texas 75773 903-638-6902