Owner Surrender Request Form

Owner Surrender

Surrendering your pet to us means that you've decided to permanently relinquish your pet to our care. As pets are lifelong companions, we understand your decision to surrender your pet(s) may have been a difficult decision.

We encourage you take a moment to read this resource found HERE for other solutions before making the final decision of surrendering your beloved pet(s).

If you are facing housing issues, or COVID-19 related issues, and would like temporary assistance or resources, please visit our Surrender Relief Program page found HERE.

Please fill out the form below if you are still interested in permanently surrendering your pet(s) to our care.

If you are looking to surrender your pet, please complete the form below. Our animal care staff will review the submission and follow-up via email or phone call. Please note that submitting your request does not guarantee your pet will be accepted. A fee must be paid at the time of surrender.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Your Pet's Information:
Your Pet's Name*
Type of Pet*
Did you adopt your pet from Valley Animal Center?*
Pet Photo*
Accepted file types: jpg, jpeg, png, gif.
Breed*
Pet's Gender*
Pet's Age
Spay/Neuter (Yes or No)*
Current on Vaccines (Yes or No)*
Pre-Existing Injuries or Medical Conditions (Yes or No)*
If yes, please describe below.*
Current Medications (Yes or No)*
If yes, please describe below.*
Reason for surrender:*
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Owner Surrender

Please fill out the form below if you are still interested in permanently surrendering your pet(s) to our care.

OWNER SURRENDER REQUEST FORM

Your Pet's Information: