Your Name (First and Last):
Phone number (please include area code):
Species of Pet:
Is your pet spayed/neutered?:
Weight (in pounds):
Does your animal have a microchip?:
How did you get your pet?:
From a military man
How long have you had your pet? *:
How long can you keep your pet before surrendering? *If less than one week, please call our Safety Net helpline at 828 761-2008:
2 or More Months
Why do you need to rehome your pet?:
Check all the following that describe your pet:
Likes to be touched
Used for hunting
For dogs only - what is your dog's energy level?:
For dogs only - what level of exercise does your dog usually get daily (exercise may include playing, walking, running, etc):
1 to 2 hours
What is something you love about your pet? What else should someone know about your pet?:
She lays her head in your lap or sits pretty for hugs .
Has your pet lived with:
How many hours is your pet home alone each day?:
What does your pet dislike or fear?:
Nothing just cats .
Where is your pet kept during the day?:
Outside and inside
Where does your pet sleep at night?:
How does your pet ride in the car?:
Back seat .
Please list any past or present injuries, treatment or other medical histories.:
Due claw hangs on one paw .
I agree that I will respond to all requests for more information about my pet in a timely manner (Checking No will stop Post):
I certify that I am the lawful owner of the pet identified here: