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Surrender Application
APET Animal Shelter 657 CR 2840, Mineola, Texas 75773 903-638-6902
Date
First and Last Name
Address
City, State and Zip
Phone Number
Email Address
Type of animal:
Adult Dog
Puppy
Cat
Kitten
Name of Animal(s), Sex, Age, Breed and Weight
Owned/Stray
Owned
Stray
Please respond if known:
Housetrained
Inside
Outside
Good with cats
Crate trained
Good with dogs
Veterinarian name
Current on vaccinations
Yes
No
Spay/Neuter
Spayed
Neutered
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.
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