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Home
Adopt
Dogs
Cats
Adoption Process
Adoption Application Form
Pet of the week
Shelter
About
Mission Statement
Policies
Shelter Staff
Board Members
Employment Opportunities
History
FAQ
Pet Programs
Low-Cost Spay/Neuter
Low-Cost Vaccine & Microchip
Feral Cats & TNR
Found stray animal?
Surrender Pet
Pet Preparedness-Disasters
Event Calendar
FurrBall
Newsletter
Radio Podcasts
Education
Community EDU Programs
Kids
Kids 4-7
Kids 8-12
Kids 13-17
Dog Training
Agility Park
Pet Spotlight
Pet Safety
Volunteer
Dog Walking / Cat Cuddling
Foster Care
Event Volunteer
Shelter Volunteer
Volunteer Application
Resale Shop
Resale Shop Staff
Special Events
June Sale Event
Sip & Shop
Resale Shop Volunteer
Sales Support the Shelter
Items we accept & sell
Pick-Up Request
Donate
Money
Wish List Items
Memorial Opportunities
Vehicles
Facebook-f
Youtube
Shelter: 575-257-9841
Resale Shop: 575-808-8540
info@hslcnm.org
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HSLC - Animal Surrender Form
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone Number
*
Email
*
Email
Confirm Email
Physical Address (Required)
*
Animal Name (Required)
*
Species (Required)
*
Breed
Color / Makings
Age / DOB
Sex (Required)
*
Male
Female
Spayed / Neutered (Required)
*
Yes
No
Unknown
Veterinarian / Clinic Name
Last Visit Date:
Current Medications
Known Medical Conditions
Vacinations
Rabies
Distemper/Parvo
Bordetella
FVRCP
FeLV
Other
Reason for Surrender (Required)
*
How long owned?
Where did you obtain?
*
Lived with children?
Yes
No
Lived with other pets?
Yes
No
Behavior Notes
House-Trained
Crate-Trained
Leash-Trained
Friendly with Strangers
Shy / Timid
Aggressive Tendencies
High Energy
Low Energy
Agreement & Signature
*
I confirm I will call the shelter before arriving to confirm space
I understand a surrender fee must be paid.
I acknowledge that surrendering is permanent.
I confirm I am the owner of this animal.
I consent to electric signature.
Owner Signature (Typed Name, Required)
*
Notes (Required)
Date (Required)
*
Submit
