Surrender Form

Please do not fill out this form unless you have already spoken with an individual from Zoological Rescue and Education Coalition. We are not an open admission rescue and need to confirm that we have space and are able to accept the animal into our adoption program. Once you have spoken with an individual, you will be directed to fill out the surrender form online or a paper copy in person. Please be advised that this Surrender Form is not effective until the animal is physically transferred from you to us. After the animal has been transferred to Zoo REC, they will become the property of Zoo REC and all further decisions for the animal will be made by Zoo REC staff.

Surrender Form (please Complete with as much Detail as possible)

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Animal Information *

Prior Information *

Reason for Surrender *

Additional Comments *

I understand that by completing this form I am the authorized owner of the animal(s) *

If "other" selected, please explain *

I understand that after transferring ownership to Zoo REC that Zoo REC will make all decisions for the animal(s) *

I understand that Zoo REC makes every effort to rehome animals, but it is possible that the animal(s) is/are euthanized. *

By writing your name below, you agree to relinquish all rights and decisions for the animal(s) listed above. *

Date *

Submit