Surrender Application

We are sorry to meet you in such unfortunate circumstances. Please fill in the form below and someone will get back to you as soon as possible. If this is an emergency that needs to be dealt with right away, call Emma on 07393822566 to let her know to expect your form and she will be on standby to process your request. Remember the more information you can give us on the animal you are surrendering, the easier it is for us to assess their needs.
If you are surrendering more than one animal, please fill this form for the first animal. Once this form is submitted, go to https://bit.ly/3fRjTFP to enter information about additional animals.
If you are just surrendering a litter of baby/young animals without their mother, fill this form with all animals in mind and then state how many animals there are and if you can tell what sex they are in the additional info box at the bottom.

Title

Fist Name *

Last Name *

Street Address *

City *

County *

Post Code *

Phone Number *

Email Address *

How did you find out about us? *

Animal Information

Species *

Breed *

Colour *

Sex *

Name of animal

Age *

Microchipped *

Is the animal up to date with its vaccinations *

Date last flead and Wormed *

Spayed/Neutered

If you answered no to neutered, vaccinated, or parasite treated, is this something you can take care of before handing the animal over. *

Please tell us about any health issues we should be aware of *

please tell us about any behavioural issues we should be aware of *

Is this animal house/litter trained *

Please tell us as much as you can about any training methods used with this animal so far and any command words used *

Reason for surrender *

What is the maximum length of time you are able to care for this animal while we find a suitable space or foster family *

Are you able to transport or arrange transport for the animal to get here *

To the best of your knowledge, how does the animal react to the following stimuli.

Dogs *

Cats *

Birds *

Small Mammals (rabbits, Guinea pigs etc) *

Strangers *

Children 0-7 *

Children 8-15 *

Vets *

The more information we have on this animal the better. There is no such thing as too much detail. Please use this text box to tell us as much as you can that has not already been included

DATA PROTECTION STATEMENT

Ren’s Rescue will process and be in control of the data provided on this form.

The information which you provide in this form and any other information obtained or provided during the course of your interactions with us (“the information”) will be used for the purpose of assessing the animal’s needs and history. When discussing the animal’s history with potential adopters, your name, location and other personal information will not be part of that discussion in any way.

You have the right to data portability, request access to, rectification or erasure of your data collected as part of this process.

So that we may use the information for the above purposes and on the above terms, we are required to obtain your explicit consent. Accordingly, please sign the consent section below. You have the right to withdraw your consent at any time and the right to lodge a complaint with the Information Commissioner.

I UNDERSTAND THAT IN SUBMITTING THIS FORM I AM CONSTENTING TO MY PERSONAL INFORMATION BEING USED FOR THE PURPOSES AND ON THE TERMS SET OUT ABOVE.

Sign Here *