Skip to content
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
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
Search
Search
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)
*
Species
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)
*
Date (Required)
*
Submit
