Fillable City of Denton Animal Surrender Form (City of Denton, Texas)

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City of Denton Animal Surrender Form (City of Denton, Texas)

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  • 16 check-boxes
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Animal Services
3717 N. Elm St, Denton, TX 76207 (940) 349-7594
OUR CORE VALUES
Integrity Fiscal Responsibility Transparency Outstanding Customer Service
City of Denton Animal Surrender Form
Terms of Release
_____ I acknowledge that my signature on this form relinquishes all claims of ownership of
the animal(s) described below. Neither my family, any representatives action on my behalf,
nor I may assert present and/or future claims, suits, or demands against the City of Denton. I
am also aware that the Animal Services Manager/Supervisor of the shelter reserves a
discretionary right to dispose of all such animals. The method of disposition may be Adoption,
Transfer to another group or rescue organization, or by a humane euthanasia.
_____To the best of my knowledge and belief, the animal described herein has not been bitten
or scratched any person in the past ten (10) days.
_____ I understand that should I choose to reclaim the animal I am releasing to the City of
Denton Animal Services, I will be required to adopt the animal according to the procedures for
adoption set forth in the City of Denton code of Ordinance Section 6.18- Adoption of dogs,
cats, and ferrets.
OWNER/NON-OWNER INFORMATION (PLEASE PRINT LEGIBLY)
NAME_____________________________________ DL#______________________
PHONE#___________________
ADDRESS_________________________________CITY______________ZIP _____________
ANIMAL INFORMATION:
Owner Surrender Stray Surrender - Reason __________________________________
If Stray, where did you find animal? (Location)__________________________
Breed______________________Sex_______Age_______Color______________
Did the animal ride well in the car? _____________________________
Did the animal arrive with any noticeable injuries? _________________________________
Owner/Non-Owner Signature_____________________Date________________
ACO Signature_________________________________ Date________________
IF THIS IS AN OWNER SURRENDER PLEASE FILL OUT THE PET PROFILE ON THE BACK OF THIS
PAGE.
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2
PET PROFILE
-Please fill out us as much information as possible so we can best rehome your pet-
Pet’s Name________________ Age: ____________________
Sex: Male Neutered: Yes / No Female Spayed: Yes/No
Micro-chipped: Yes______ No______ Microchip #___________________
Is pet declawed (cats): Yes_______ No______
Has your pet bitten or scratched anyone in the past 10(ten) days? Yes___No___
Is this pet current on any vaccinations: Yes_____ No_____ Vet Clinic:__________
Does the pet have injuries/health issues? ________________________________
Medium High
No Personal Preference
Medium High
Indoor Only
Outdoor Only Both
What is your animals shedding level? Low
Does your animal have grooming needs? Yes
What is your animal energy level? Low
Did you keep your animal indoor or out
door?
(not including bathroom time)
Does your animal have separation anxiety?
Minimal Mild Severe Not an issue
How does your pet do with dogs? _____________________________________________
How does your pet do with cats? ______________________________________________
How does your pet do with kids? ______________________________________________
Is your pet: Potty Trained/Litter Trained Crate Trained Leash Trained
Any destructive behavior? _____________________________________________________
Any Digging, Barking, or other noticeable behavioral issues? ___________________________
Any Additional Helpful Information?
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City of Denton Animal Surrender Form (City of Denton, Texas)

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Completed 30 October 2021

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