Guinea Pig
Surrender Form
Your Rescue Name is a Guinea Pig Rescue and Adoption home operated by
Your Personal Name
Your Street Address
Your City, State Zip
(999) 999-9999
Owner
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Name |
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Telephone Home |
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Address |
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Telephone Work |
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Telephone Cell |
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Drivers License # |
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EMail |
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DL Verified? |
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#
of Pigs Surrendered |
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Description of Guinea Pig (complete separate
descriptions and histories for each guinea pig)
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Name |
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Sex |
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q Sure q Think |
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Color |
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Neutered/Spayed? |
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Breed |
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Age |
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q Sure q Guess |
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Hair
Type |
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Birth
date (if known) |
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Habits
or Likes |
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Personality |
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Health
Problems |
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History of Guinea Pig
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I
got this guinea pig from |
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In
(month/year) |
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His/her
age (or size if age not known) was |
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Additional
history |
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Reason
for giving up |
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I attest that I am the owner of
the animal described above. I hereby relinquish all ownership rights to this
animal to Your Rescue Name
(Your Personal Name) for
disposition at their discretion. I certify that, to my knowledge, this animal
has not bitten anyone during the last 10 days. $75 per pig surrender fee. An additional $75 per pig to cover the
cost of neutering if single male or a pair of males, which do not get along.
Signature: _____________________________________ Date:
_____________ Donation (opt): _______________
Your Rescue Name
Notes on Surrender Condition (nails, ears, skin, teeth, hair, feet, health,
temperament, etc.)
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