Pet Surrender Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please select your municipal council *- Please Select -BeaudesertBrisbane NorthBrisbane SouthGold CoastIpswichLoganMoretonRedlandsScenic RimOWNER DETAILSName *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---Please SelectSouth AustraliaWestern AustraliaVictoriaNew South WalesQueenslandTasmaniaAustralia Capital TerritoryNorthern TerritoryState / TerritoryPostalIs your mailing address same as your physical address? *YesNoEmail *Contact Number *Alternative contact number *Are you over the age of 18 years? (ID is required at time of surrender) *YesNoPlease note: If no, a parent/guardian must complete the form and be present at the time of surrender.YOUR PET DETAILSWhat type of pet(s) do you need to surrender? *DogPuppyCatKittenBird or Pocket Pet, i.e Rat/Guinea PigPlease note we do not accept surrenders of mice or reptiles.Please provide the number of animals to surrender *1 Dog2+ Dogs1 Puppy2+ Puppies1 Cat2+ Cats1 Kitten2+ KittensLitter of Puppies/KittensOther AmountPlease explain in description box the amount of animals you are needing assistance with if more than one. I.e. 1 x dog + 1 x catWhat is the name of your pet? *Please specify which name belongs to which pet if surrendering more than 1Size of pet *- Please Select -Small (1-10kg)Medium (11-25kg)Large (25+)Gender of your pet *- Please Select -Entire FemaleDesexed FemaleEntire MaleDesexed MaleUnknown Age of your pet Please be as accurate as possible as it will help us move the application process along quicker.Years0123456789101112131415+Months03456789101112Weeks0-7 weeks8-12 weeks Please note individual ages of your pets *Breed of your pet *Is your pet/s vaccinated? *- Please Select -YesNoUnknownPlease upload proof of vaccination. Click or drag a file to this area to upload. Is your pet/s up to date with flea, tick and worming treatments? *- Please Select -YesNoUnknownIs your pet/s microchipped? *- Please Select -YesNoUnknownAre you the microchip owner? *YesNoIf no, who is the microchip owner? *Microchip number *Breeder Identification Number (BIN) *A person who sells, advertises or gives away a dog, must have a Supply Number (BIN). If you don't have a BIN please go to https://qdbr.daf.qld.gov.au/Brief description of why you need to surrender your pet/s *Is there anything that would help you keep your pet? *Do you need help by a certain date? *Please note: This is a guideline for our team and it is not gauranteed we will be able to assist prior to this date due to the amount of applications we receive.HOME INFORMATIONWhere did you get your pet from? *- Please Select -FoundAWLQBreederFacebook/Social MediaGift From Friend/RelativeGumtreeNewspaper GiveawayOther Shelter or Rescue GroupOwn LitterPet ShopOtherHow long have you owned your pet? *Does your pet live inside, outside or both? *- Please Select -InsideOutsideInside & OutsideHow much time does your pet spend alone? *- Please Select -Less than 4 hoursBetween 6-8 hoursBetween 8-12 hoursMore than 12 hoursNot including night time sleeping hoursWhen no one is home, where is your pet kept? *- Please Select -InsideOutsideWhere does your pet sleep at night? *- Please Select -InsideOutsideHow many adults live in the home with your pet(s)? *Are there children who live in the home with your pet? *- Please Select -YesNoSOCIABILITY WITH CHILDRENWhat behaviour(s) does your pet display around children in general? *Please describe how your pet interacts with the children in your home *Has your pet ever bitten/been aggressive to a child in or outside of the home? *- Please Select -YesNoHas your pet met children other than immediate family? *- Please Select -YesNoSOCIABILITY WITH ADULTSIs your pet social with adults in the home? *YesNoIf no, please describe what behaviour(s) your pet displays. *If yes, please describe what behaviour(s) your pet displays. *Has your pet met adults other than immediate family? *- Please Select -YesNoHow does your pet behave when visitors come to the house? *- Please Select -BarkingBoisterousExcitedAvoidsGrowlsFearfulCalmHissScratchPurrHow does your pet behave with people outside of your home? *- Please Select -BarkingBoisterousExcitedAvoidsGrowlsFearfulCalmHissScratchPurrHas your pet bitten/been aggressive to an adult in the home? *- Please Select -YesNoHas your pet bitten/been aggressive to an adult outside of the home? *- Please Select -YesNoIf yes, please explain what happened *SOCIABILITY WITH PETS IN THE HOMEAre there any other pets in the home? *- Please Select -YesNoIf so, what kind of animals does your pet live with? *If other pets in the home, how does your dog/cat interact with them? *If aggressive, please explain the behaviour(s) the pet you are needing to surrender displays. *Which pet arrived in the home first? *- Please Select -Pet being surrenderedOther PetIs your pet comfortable with other pets and humans being around when they are eating? *- Please Select -YesNoN/AIf no, what do they do? Ignore/keep eating/stop eating/move away/growl? *- Please Select -IgnoreKeep eatingStop eatingMove awayGrowlHas your pet ever been in a fight with any of the pets in the home? *- Please Select -YesNoN/ADo you know who started the fight, what it was over and were there any injuries sustained? *SOCIABILITY WITH ANIMALS OUTSIDE THE HOMEHas your dog met other dogs? *- Please Select -YesNoN/AIf yes, how do they behave? *If no, what is the reason they haven't met dogs outside the home? *Has your pet ever gotten into a fight or attacked another animal? *- Please Select -YesNoBEHAVIOUR INFORMATIONDoes your pet have any problem behaviours? Digging/barking/chewing/scratching/destructive? *- Please Select -YesNoIf yes, please explain. *Is there anything that may scare your pet or cause them to be fearful? *- Please Select -YesNoIf yes, please explain what causes them to be fearful. *Is your pet independent and likes to be left alone? *- Please Select -YesNoHas your pet ever escaped your yard? *- Please Select -YesNoN/AIf yes, how did your pet escape? *ClimbingJumpingDig OutWalk Out (gate left open)OtherWhat type of fencing do you have? *- Please Select -WireTimberColourbondNoneOtherN/AWhat is the height of your fence? *- Please Select -3ft4ft5ft6ft7+ftN/AIs you dog currently or has dog ever been regulated by a council? *- Please Select -YesNo(Declared dangerous, menacing or restricted breed)HEALTH AND VETERINARY INFORMATIONDoes your pet currently have any medical or health conditions? *- Please Select -YesNoIf yes, please explain *Has your pet previously had any medical or health conditions? *- Please Select -YesNoUnknownIf yes, please provide details *When did your pet last go to the vets? *What is the name of your pets vet clinic? *NEW HOME RECOMMENDATIONSCan you describe your pet's personality in a few words? *Note: if surrendering more than one animal, please provide details for each of them.What sort of home/family do you think your pet would suit? *Note: if surrendering more than one animal, please provide details for each of them.Adding some of your favourite photos will help AWLQ to promote your pet for rehoming. Please note that this is optional Click or drag files to this area to upload. You can upload up to 2 files. Max file size: 15mbSURRENDER CONDITIONSOnce AWLQ have received this form you will be placed on the waiting list. This timeframe varies depending on the amount of applications we are receiving and stray animals we are each week. An AWLQ staff member will contact you if they require any further information. You will be contacted to book a day and time to bring your pet to the rehoming centre. A booking must be made for all surrenders as this ensures we can capacity to receive your pet, and assists us in maintaining our promise to never euthanise a healthy, sociable and treatable animal in our care. Please note that AWLQ request a surrender fee of $50 for individual animals and $80 for litters or groups of animals. AWLQ have a last litter fund program which offers owners who have surrendered a litter with a voucher to desex the mother for free. Please ask our staff for more information or contact our National Desexing Network program directly on [email protected] You confirm you are the owner of the animal or have authority to surrender the animal, and have provided accurate information in your application. By submitting this surrender application you agree to the above conditions *I agree to the conditionsSubmit
Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please select your municipal council *- Please Select -BeaudesertBrisbane NorthBrisbane SouthGold CoastIpswichLoganMoretonRedlandsScenic RimOWNER DETAILSName *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---Please SelectSouth AustraliaWestern AustraliaVictoriaNew South WalesQueenslandTasmaniaAustralia Capital TerritoryNorthern TerritoryState / TerritoryPostalIs your mailing address same as your physical address? *YesNoEmail *Contact Number *Alternative contact number *Are you over the age of 18 years? (ID is required at time of surrender) *YesNoPlease note: If no, a parent/guardian must complete the form and be present at the time of surrender.YOUR PET DETAILSWhat type of pet(s) do you need to surrender? *DogPuppyCatKittenBird or Pocket Pet, i.e Rat/Guinea PigPlease note we do not accept surrenders of mice or reptiles.Please provide the number of animals to surrender *1 Dog2+ Dogs1 Puppy2+ Puppies1 Cat2+ Cats1 Kitten2+ KittensLitter of Puppies/KittensOther AmountPlease explain in description box the amount of animals you are needing assistance with if more than one. I.e. 1 x dog + 1 x catWhat is the name of your pet? *Please specify which name belongs to which pet if surrendering more than 1Size of pet *- Please Select -Small (1-10kg)Medium (11-25kg)Large (25+)Gender of your pet *- Please Select -Entire FemaleDesexed FemaleEntire MaleDesexed MaleUnknown Age of your pet Please be as accurate as possible as it will help us move the application process along quicker.Years0123456789101112131415+Months03456789101112Weeks0-7 weeks8-12 weeks Please note individual ages of your pets *Breed of your pet *Is your pet/s vaccinated? *- Please Select -YesNoUnknownPlease upload proof of vaccination. Click or drag a file to this area to upload. Is your pet/s up to date with flea, tick and worming treatments? *- Please Select -YesNoUnknownIs your pet/s microchipped? *- Please Select -YesNoUnknownAre you the microchip owner? *YesNoIf no, who is the microchip owner? *Microchip number *Breeder Identification Number (BIN) *A person who sells, advertises or gives away a dog, must have a Supply Number (BIN). If you don't have a BIN please go to https://qdbr.daf.qld.gov.au/Brief description of why you need to surrender your pet/s *Is there anything that would help you keep your pet? *Do you need help by a certain date? *Please note: This is a guideline for our team and it is not gauranteed we will be able to assist prior to this date due to the amount of applications we receive.HOME INFORMATIONWhere did you get your pet from? *- Please Select -FoundAWLQBreederFacebook/Social MediaGift From Friend/RelativeGumtreeNewspaper GiveawayOther Shelter or Rescue GroupOwn LitterPet ShopOtherHow long have you owned your pet? *Does your pet live inside, outside or both? *- Please Select -InsideOutsideInside & OutsideHow much time does your pet spend alone? *- Please Select -Less than 4 hoursBetween 6-8 hoursBetween 8-12 hoursMore than 12 hoursNot including night time sleeping hoursWhen no one is home, where is your pet kept? *- Please Select -InsideOutsideWhere does your pet sleep at night? *- Please Select -InsideOutsideHow many adults live in the home with your pet(s)? *Are there children who live in the home with your pet? *- Please Select -YesNoSOCIABILITY WITH CHILDRENWhat behaviour(s) does your pet display around children in general? *Please describe how your pet interacts with the children in your home *Has your pet ever bitten/been aggressive to a child in or outside of the home? *- Please Select -YesNoHas your pet met children other than immediate family? *- Please Select -YesNoSOCIABILITY WITH ADULTSIs your pet social with adults in the home? *YesNoIf no, please describe what behaviour(s) your pet displays. *If yes, please describe what behaviour(s) your pet displays. *Has your pet met adults other than immediate family? *- Please Select -YesNoHow does your pet behave when visitors come to the house? *- Please Select -BarkingBoisterousExcitedAvoidsGrowlsFearfulCalmHissScratchPurrHow does your pet behave with people outside of your home? *- Please Select -BarkingBoisterousExcitedAvoidsGrowlsFearfulCalmHissScratchPurrHas your pet bitten/been aggressive to an adult in the home? *- Please Select -YesNoHas your pet bitten/been aggressive to an adult outside of the home? *- Please Select -YesNoIf yes, please explain what happened *SOCIABILITY WITH PETS IN THE HOMEAre there any other pets in the home? *- Please Select -YesNoIf so, what kind of animals does your pet live with? *If other pets in the home, how does your dog/cat interact with them? *If aggressive, please explain the behaviour(s) the pet you are needing to surrender displays. *Which pet arrived in the home first? *- Please Select -Pet being surrenderedOther PetIs your pet comfortable with other pets and humans being around when they are eating? *- Please Select -YesNoN/AIf no, what do they do? Ignore/keep eating/stop eating/move away/growl? *- Please Select -IgnoreKeep eatingStop eatingMove awayGrowlHas your pet ever been in a fight with any of the pets in the home? *- Please Select -YesNoN/ADo you know who started the fight, what it was over and were there any injuries sustained? *SOCIABILITY WITH ANIMALS OUTSIDE THE HOMEHas your dog met other dogs? *- Please Select -YesNoN/AIf yes, how do they behave? *If no, what is the reason they haven't met dogs outside the home? *Has your pet ever gotten into a fight or attacked another animal? *- Please Select -YesNoBEHAVIOUR INFORMATIONDoes your pet have any problem behaviours? Digging/barking/chewing/scratching/destructive? *- Please Select -YesNoIf yes, please explain. *Is there anything that may scare your pet or cause them to be fearful? *- Please Select -YesNoIf yes, please explain what causes them to be fearful. *Is your pet independent and likes to be left alone? *- Please Select -YesNoHas your pet ever escaped your yard? *- Please Select -YesNoN/AIf yes, how did your pet escape? *ClimbingJumpingDig OutWalk Out (gate left open)OtherWhat type of fencing do you have? *- Please Select -WireTimberColourbondNoneOtherN/AWhat is the height of your fence? *- Please Select -3ft4ft5ft6ft7+ftN/AIs you dog currently or has dog ever been regulated by a council? *- Please Select -YesNo(Declared dangerous, menacing or restricted breed)HEALTH AND VETERINARY INFORMATIONDoes your pet currently have any medical or health conditions? *- Please Select -YesNoIf yes, please explain *Has your pet previously had any medical or health conditions? *- Please Select -YesNoUnknownIf yes, please provide details *When did your pet last go to the vets? *What is the name of your pets vet clinic? *NEW HOME RECOMMENDATIONSCan you describe your pet's personality in a few words? *Note: if surrendering more than one animal, please provide details for each of them.What sort of home/family do you think your pet would suit? *Note: if surrendering more than one animal, please provide details for each of them.Adding some of your favourite photos will help AWLQ to promote your pet for rehoming. Please note that this is optional Click or drag files to this area to upload. You can upload up to 2 files. Max file size: 15mbSURRENDER CONDITIONSOnce AWLQ have received this form you will be placed on the waiting list. This timeframe varies depending on the amount of applications we are receiving and stray animals we are each week. An AWLQ staff member will contact you if they require any further information. You will be contacted to book a day and time to bring your pet to the rehoming centre. A booking must be made for all surrenders as this ensures we can capacity to receive your pet, and assists us in maintaining our promise to never euthanise a healthy, sociable and treatable animal in our care. Please note that AWLQ request a surrender fee of $50 for individual animals and $80 for litters or groups of animals. AWLQ have a last litter fund program which offers owners who have surrendered a litter with a voucher to desex the mother for free. Please ask our staff for more information or contact our National Desexing Network program directly on [email protected] You confirm you are the owner of the animal or have authority to surrender the animal, and have provided accurate information in your application. By submitting this surrender application you agree to the above conditions *I agree to the conditionsSubmit
