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Reptile/Amphibian Surrender Form
***** We are NOT accepting any kind of illegal/venomous species.
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* Indicates required question
Name of party surrendering animal:
*
Your answer
Contact Info: Email + Phone
*
Your answer
Animal's Name (If none - N/A)
*
Your answer
Animal's Species
*
Your answer
Animal's Age
*
Unknown
0-6 months
6-12 months
1
2
3
4
5
6
7
8
9
10+
Animal's Sex
*
Male
Female
Unknown
Years Owned
*
0-3 years
3-5 years
5-8 years
8+ years
Animal's Demeanor/Attitude:
*
Your answer
Animal's Medical Conditions (if none - N/A)
*
Your answer
Reason for Surrender:
*
Your answer
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