Professional Documents
Culture Documents
Surrenderform
Surrenderform
Today's Date:
Your Information
Name:
Email:
Contact Phone # (Optional):
City & State of Residence:
Pet's Information (You must copy and fill out this section
for EACH rat being surrendered)
Name:
Age Apporximation/Known Date of Birth:
Sex:
Is this rat altered (Spayed/Neutered)?
Physical Description (color, markings, ear type, etc):
Temperament/Personality Description:
Any known current or past health or temperament issues? If so,
please list in detail ths issues, how it was treated if at all and
associated dates:
Has this pet ever bitten a human or another animal? If so, what were
the circumstances?
Where did this rat come from?
How long have you have this rat in your care?
Does this rat currently live with other rats? If not, have they ever
lived or played with other rats?
Additional Background Information
Why are you unable to keep this rat(s)?
Is there anything we can do that would allow you to keep your pet?
What kind of habitat/cage does you pet live in? Please be as specific
as possible inc. dimensions
Are you able to send this habitat/cage with your pet to his foster or
new home?
What type of bedding do you use for your pet?
What items does your pet like in its habitat? (ex., running wheels,
hammocks, tubes, etc.)
What diet is your pet on? Please be specific on brands and food
specifics
Is your pet used to being handled? If so, how often did you handle
him/her?
Has your pet been exposed to children? If so, what was their
interaction?
Would you recommend this pet being placed in a home with
children?
Has your pet been exposed to dogs and/or cats? If so, what was
their interaction?
Would you recommend this pet being placed in a home with dogs
and/or cats?
Surrenders Involving Litters (Babies Currently Nursing With
Mom)
Date of the litter's birth:
How many in the litter, Total: Males: Females: