OWNER SURRENDER FORM OWNER SURRENDER This form should be used by persons seeking to re-home their pets. We are aware this form is long and can seem intimidating. Please know that it is in the best interest of your pet to fill it out as completely as possible. This form can be used for multiple pets. Please fill out each section individually then select "yes" when asked if you have another pet to surrender. Maximum of 3 pets per form. PLEASE NOTE: The intake process requires a scheduled behavior/medical evaluation to be performed by a PAWS staff member for each animal before they are eligible for our adoption program.Thank you.In which county do you reside?* Hays County Blanco County Other **ATTENTION**Please note that due to renovations at our Kyle Campus, our space has been drastically limited. Wait times for owner surrendered animal acceptance could be a minimum of 2-3 months. If you need immediate rehoming assistance, we recommend contacting your county animal control facility or another rescue. **ATTENTION**Due to renovations at our Kyle Campus, our space has been drastically reduced. We are currently only accepting surrender requests from Hays or Blanco County residents. We recommend seeking assistance from your local municipal shelter or other local rescues. Date* MM slash DD slash YYYY Name* First Last Address*Physical addresses only. Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* Why are you seeking to re-home this pet / these pets?*Please be as descriptive as possible. The more information provided, the better chance we have at finding a suitable home for this pet. Additionally, detailed information may expedite the surrender process. Species:*Please choose one.DogCatPet's Name Pet's Age*Please approximate if you are unsure. Gender*MaleFemaleBreed:*If the dog is a mixed breed, please list which breeds the dog most closely resembles. Breed / Description*Please describe the coat patterns of the cat if no breed is obvious. (i.e. tabby, calico, etc.) Color:*Please be descriptive. Coat Length*ShortMediumLongHairlessHow long have you owned this pet?* Where did you originally get this pet?*StrayBreederAnimal ShelterFriend / NeighborOtherWhere did you originally get this pet? Which shelter?*Austin Animal Center (FKA Town Lake Animal Center)Austin Pets Alive!Austin Humane SocietyPAWS Shelter of Central Texas (FKA PAWS Shelter and Humane Society)San Marcos Animal ShelterOtherWhich shelter? ***Austin Pets Alive! will take back any adopted pet if the adoption does not work out for any reason. Please e-mail adopt@austinpetsalive.org to start the return process. Please specify the problem you are having with your pet so they can assist you quickly. Contact cat-behavior@austinpetsalive.org or dogbehaviorfollowup@austinpetsalive.org if you are having behavior concerns that you hope to resolve.******If you adopted your pet from PAWS Shelter of Central Texas (FKA PAWS Shelter and Humane Society), you may return the pet immediately. Please email intake@pawsshelter.org for more details about returning your pet. You may also call 512-268-1611 and someone will return your call within 24 hours.***This pet has been kept:* Mostly Indoors Mostly Outdoors Both - 50/50 Upload a photo of your pet, if available.Max. file size: 512 MB.Veterinary Information and Medical History:Veterinarian(s) Information:Please list all veterinarians (if applicable) that have seen this pet. Use the to add more information.Veterinarian or Clinic NamePhone Number Which vaccinations have been given to this pet? DHPP / DHLPP Bordetella Rabies DHPP / DHLPP Details:Veterinarian or Clinic NameDate of VaccinationBordetella Details:Veterinarian or Clinic NameDate of VaccinationRabies Vaccine Details:Veterinarian or Clinic NameDate of VaccinationWhich vaccinations have been given to this pet? FVRCP Feline Leukemia Vaccine Rabies FVRCP Details:Veterinarian or ClinicDate of VaccinationFeline Leukemia Vaccine Details:Veterinarian or Clinic NameDate of VaccinationRabies Vaccine Details:Veterinarian or Clinic NameDate of VaccinationHas this dog had a Heartworm test?*NoYesUnsureHeartworm Test Details:Veterinarian or Clinic NameDate of Heartworm TestWhat was the result of the Heartworm Test?NegativePositiveUnsureHas this cat had a Feline Leukemia (FeLV) test?*NoYesUnsureFeline Leukemia Test Details:Veterinarian or Clinic NameDate of FeLV TestWhat was the result of the Feline Leukemia Test?NegativePositiveUnsureHas this cat had a Feline Immunodeficiency Virus (FIV) test?*NoYesUnsureFeline Immunodeficiency Virus (FIV) Test Details:Veterinarian or Clinic NameDate of FIV TestWhat was the result of the FIV Test?NegativePositiveUnsureHas this pet been spayed or neutered?*NoYesUnsureHas this cat been declawed?*NoYesUnsureDoes this pet have any current or previous special or medical issues?Medications, special diet, allergies, previous injuries, etc.Behavior and Personality:Please provide honest and detailed information. These answers provide us with important information that will allow us to find appropriate homes and are not necessarily used to determine eligibility.What is this dog's personality like in general?*Please include energy level, quirks, likes and dislikes, anxiety or fear issues, etc.Which best describes this cat's personality?*Please check all that apply. Social Butterfly Independent Loner Ultra Confident Grumpy Pants Scaredy Cat Wild and Mean Additional personality details:Please include energy level, quirks, likes and dislikes, anxiety or fear issues, etc.This dog does NOT do well with:* Cats Any Dogs Certain Dogs Any Children ( < 12 y.o.) Certain Children Certain People Livestock Unsure N/A. This dog gets along with everything. This cat does NOT do well with:* All Cats Certain Cats All Dogs Certain Dogs Unsure N/A. This cat gets along with everything. Please provide additional details about the dog's behavior with cats:Please provide additional details about the dog's behavior with other dogs:Please provide additional details about the types of dogs your dog does not do well with and their behavior toward them:Please provide additional details about the dog's behavior around children:Please provide additional details about the types of children this dog does not do well with and the behavior toward them:Please provide additional details about the types of people this dog does not do well with and the behavior towards them:Please provide additional details about the types of livestock this dog does not do well with and the behavior towards them:Please provide additional details about this cat's behavior around other cats:Please provide additional details about types of cats this cat does not do well with and their behavior toward them:Please provide additional details about this cat's behavior around dogs:Please provide additional details about types of dogs this cat does not do well with and their behavior toward them:Perks: This is just for extra information and bears no weight in the intake process. Please check all that apply:Perks: This is just for extra information and bears no weight in the intake process. Please check all that apply: Potty Trained Knows Commands Gentle on Leash Crate Trained Other Which commands? Other Perks: Do you have another pet to surrender?NoYes SECOND PETSpecies:*Please choose one.DogCatPet's Name Pet's Age*Please approximate if you are unsure. Gender*MaleFemaleBreed:*If the dog is a mixed breed, please list which breeds the dog most closely resembles. Breed / Description*Please describe the coat patterns of the cat if no breed is obvious. (i.e. tabby, calico, etc.) Color:*Please be descriptive. Coat Length*ShortMediumLongHairlessHow long have you owned this pet?* Where did you originally get this pet?*StrayBreederAnimal ShelterFriend / NeighborOtherWhere did you originally get this pet? Which shelter?*Austin Animal Center (FKA Town Lake Animal Center)Austin Pets Alive!Austin Humane SocietyPAWS Shelter of Central Texas (FKA PAWS Shelter and Humane Society)San Marcos Animal ShelterOtherWhich shelter? ***Austin Pets Alive! will take back any adopted pet if the adoption does not work out for any reason. Please e-mail adopt@austinpetsalive.org to start the return process. Please specify the problem you are having with your pet so they can assist you quickly. Contact cat-behavior@austinpetsalive.org or dogbehaviorfollowup@austinpetsalive.org if you are having behavior concerns that you hope to resolve.******If you adopted your pet from PAWS Shelter of Central Texas (FKA PAWS Shelter and Humane Society), you may return the pet immediately. Please email intake@pawsshelter.org for more details about returning your pet. You may also call 512-268-1611 and someone will return your call within 24 hours.***This pet has been kept:* Mostly Indoors Mostly Outdoors Both - 50/50 Upload a photo of your pet, if available.Max. file size: 512 MB.Veterinary Information and Medical History:Veterinarian(s) Information:Please list all veterinarians (if applicable) that have seen this pet. Use the to add more information.Veterinarian or Clinic NamePhone Number Which vaccinations have been given to this pet? DHPP / DHLPP Bordetella Rabies DHPP / DHLPP Details:Veterinarian or Clinic NameDate of VaccinationBordetella Details:Veterinarian or Clinic NameDate of VaccinationRabies Vaccine Details:Veterinarian or Clinic NameDate of VaccinationWhich vaccinations have been given to this pet? FVRCP Feline Leukemia Vaccine Rabies FVRCP Details:Veterinarian or Clinic NameDate of VaccinationFeline Leukemia Vaccine Details:Veterinarian or Clinic NameDate of VaccinationRabies Vaccine Details:Veterinarian or Clinic NameDate of VaccinationHas this dog had a heartworm test?*NoYesUnsureHeartworm Test Details:Veterinarian or Clinic NameDate of Heartworm TestWhat was the result of the Heartworm Test?NegativePositiveUnsureHas this cat had a Feline Leukemia (FeLV) test?*NoYesUnsureFeline Leukemia Test Details:Veterinarian or Clinic NameDate of FeLV TestWhat was the result of the Feline Leukemia Test?NegativePositiveUnsureHas this cat had a Feline Immunodeficiency Virus (FIV) test?*NoYesUnsureFeline Immunodeficiency Virus (FIV) Test Details:Veterinarian or Clinic NameDate of FIV TestWhat was the result of the FIV Test?NegativePositiveUnsureHas this pet been spayed or neutered?*NoYesUnsureHas this cat been declawed?*NoYesUnsureDoes this pet have any current or previous special or medical issues?Medications, special diet, allergies, previous injuries, etc.Behavior and Personality:Please provide honest and detailed information. These answers provide us with important information that will allow us to find appropriate homes and are not necessarily used to determine eligibility.What is this dog's personality like in general?*Please include energy level, quirks, likes and dislikes, anxiety or fear issues, etc.Which best describes this cat's personality?*Please check all that apply. Social Butterfly Independent Loner Ultra Confident Grumpy Pants Scaredy Cat Wild and Mean Additional personality details:Please include energy level, quirks, likes and dislikes, anxiety or fear issues, etc.This dog does NOT do well with:* Cats Any Dogs Certain Dogs Any Children ( < 12 y.o.) Certain Children Certain People Livestock Unsure N/A. This dog gets along with everything. This cat does NOT do well with:* All Cats Certain Cats All Dogs Certain Dogs Unsure N/A. This cat gets along with everything. Please provide additional details about the dog's behavior with cats:Please provide additional details about the dog's behavior with other dogs:Please provide additional details about the types of dogs your dog does not do well with and their behavior toward them:Please provide additional details about the dog's behavior around children:Please provide additional details about the types of children this dog does not do well with and the behavior toward them:Please provide additional details about the types of people this dog does not do well with and the behavior towards them:Please provide additional details about the types of livestock this dog does not do well with and the behavior towards them:Please provide additional details about the cat's behavior around other cats:Please provide additional details about the types of cats this cat does not do well with and the behavior towards them:Please provide additional details about the cat's behavior around dogs:Please provide additional details about the types of dogs this cat does not do well with and the behavior towards them:Perks: This is just for extra information and bears no weight in the intake process. Please check all that apply:Perks: This is just for extra information and bears no weight in the intake process. Please check all that apply: Potty Trained Knows Commands Gentle on Leash Crate Trained Other Which commands? Other Perks: Do you have another pet to surrender?NoYes THIRD PETSpecies:*DogCatPet's Name Pet's Age*Please approximate if you are unsure. Gender*MaleFemaleBreed:*If the dog is a mixed breed, please list which breeds the dog most closely resembles. Breed / Description*Please describe the coat patterns of the cat if no breed is obvious. (i.e. tabby, calico, etc.) Color:*Please be descriptive. Coat Length*ShortMediumLongHairlessHow long have you owned this pet?* Where did you originally get this pet?*StrayBreederAnimal ShelterFriend / NeighborOtherWhere did you originally get this pet? Which shelter?*Austin Animal Center (FKA Town Lake Animal Center)Austin Pets Alive!Austin Humane SocietyPAWS Shelter of Central Texas (FKA PAWS Shelter and Humane Society)San Marcos Animal ShelterOtherWhich shelter? ***Austin Pets Alive! will take back any adopted pet if the adoption does not work out for any reason. Please e-mail adopt@austinpetsalive.org to start the return process. Please specify the problem you are having with your pet so they can assist you quickly. Contact cat-behavior@austinpetsalive.org or dogbehaviorfollowup@austinpetsalive.org if you are having behavior concerns that you hope to resolve.******If you adopted your pet from PAWS Shelter of Central Texas (FKA PAWS Shelter and Humane Society), you may return the pet immediately. Please email intake@pawsshelter.org for more details about returning your pet. You may also call 512-268-1611 and someone will return your call within 24 hours.***This pet has been kept:* Mostly Indoors Mostly Outdoors Both - 50/50 Upload a photo of your pet, if available.Max. file size: 512 MB.Veterinary Information and Medical History:Veterinarian(s) Information:Please list all veterinarians (if applicable) that have seen this pet. Use the to add more information.Veterinarian or Clinic NamePhone Number Which vaccinations have been given to this pet? DHPP / DHLPP Bordetella Rabies DHPP / DHLPP Details:Veterinarian or Clinic NameDate of VaccinationBordetella Details:Veterinarian or Clinic NameDate of VaccinationRabies Vaccine Details:Veterinarian or Clinic NameDate of VaccinationWhich vaccinations have been given to this pet? FVRCP Feline Leukemia Vaccine Rabies FVRCP Details:Veterinarian or Clinic NameDate of VaccinationFeline Leukemia Vaccine Details:Veterinarian or Clinic NameDate of VaccinationRabies Vaccine Details:Veterinarian or Clinic NameDate of VaccinationHas this dog had a Heartworm test?*NoYesUnsureHeartworm Test Details:Veterinarian or Clinic NameDate of Heartworm TestWhat was the result of the Heartworm Test?NegativePositiveUnsureHas this cat had a Feline Leukemia (FeLV) test?*NoYesUnsureFeline Leukemia Test Details:Veterinarian or Clinic NameDate of FeLV TestWhat was the result of the Feline Leukemia Test?NegativePositiveUnsureHas this cat had a Feline Immunodeficiency Virus (FIV) test?*NoYesUnsureFeline Immunodeficiency Virus (FIV) Test Details:Veterinarian or Clinic NameDate of FIV TestWhat was the result of the FIV Test?NegativePositiveUnsureHas this pet been spayed or neutered?*NoYesUnsureHas this cat been declawed?*NoYesUnsureDoes this pet have any current or previous special or medical issues?Medications, special diet, allergies, previous injuries, etc.Behavior and Personality:Please provide honest and detailed information. These answers provide us with important information that will allow us to find appropriate homes and are not necessarily used to determine eligibility.What is this dog's personality like in general?*Please include energy level, quirks, likes and dislikes, anxiety or fear issues, etc.Which best describes this cat's personality?*Please check all that apply. Social Butterfly Independent Loner Ultra Confident Grumpy Pants Scaredy Cat Wild and Mean Additional personality details:Please include energy level, quirks, likes and dislikes, anxiety or fear issues, etc.This dog does NOT do well with:* Cats Any Dogs Certain Dogs Any Children ( < 12 y.o.) Certain Children Certain People Livestock Unsure N/A. This dog gets along with everything. This cat does NOT do well with:* All Cats Certain Cats All Dogs Certain Dogs Unsure N/A. This cat gets along with everything. Please provide additional details about the dog's behavior with cats:Please provide additional details about the dog's behavior with other dogs:Please provide additional details about the types of dogs your dog does not do well with and their behavior toward them:Please provide additional details about the dog's behavior around children:Please provide additional details about the types of children this dog does not do well with and the behavior toward them:Please provide additional details about the types of people this dog does not do well with and the behavior towards them:Please provide additional details about the types of livestock this dog does not do well with and the behavior towards them:Please provide additional details about the cat's behavior with cats:Please provide additional details about the types of cats this cat does not do well with and the behavior towards them:Please provide additional details about the cat's behavior around dogs:Please provide additional details about the types of dogs this cat does not do well with and the behavior towards them:Perks: This is just for extra information and bears no weight in the intake process. Please check all that apply:Perks: This is just for extra information and bears no weight in the intake process. Please check all that apply: Potty Trained Knows Commands Gentle on Leash Crate Trained Other Which commands? Other Perks: PAWS SHELTER OF CENTRAL TEXAS is a non-profit, No Kill shelter and runs entirely on donations to care for its animals. A $55 minimum donation is required for owner surrenders. By submitting this form, I am stating that all above information contained in this form is complete and true and understand that I have begun the process of relinquishing ownership of this/these animals to PAWS Shelter of Central Texas. I also understand that PAWS Shelter of Central Texas requires a behavior evaluation for each pet before completing the surrender process and by no means guarantees that this/these animals will be accepted into their adoption program upon completion. Δ Share this:EmailTwitterFacebookPinterestTumblr