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Canine Surrender Application
Home
Foster
Adopt
Pawsitive Placement Program
Pawsitive Placement Program Application
Volunteer
Clinic
Donate
Financial Accountability
Surrender
Canine Surrender Application
Feline Surrender Application
SETX Shelter Alliance
Board of Directors
Employment Application
Contact
Canine Surrender
Application
By completing this information, I declare UNDER PENALTY OF PERJURY that I am the legal owner/agent of the animal(s) submitted. I have answered all the questions above to the best of my ability. I understand that once I surrender my animal(s) to the Humane Society of Southeast Texas, I relinquish all legal rights to said animal and to any information regarding the animal(s) surrendered and their disposition. I further understand that there is no time guarantee, or placement of the animal(s) surrendered and understand that the animal(s) shall be evaluated, and disposition determined at the discretion of the Humane Society of Southeast Texas.
Information on surrendering an animal to HSSET. Please read carefully before continuing.
(Required)
Humane Society of Southeast Texas operates a “Closed Intake”, meaning that all of our intakes are done by appointment only. Appointments are scheduled after submitting an Intake Surrender Application. If you are in need of immediate assistance, please contact your local Animal Control. If you live outside of city limits, please contact your County Animal Control. While HSSET maintains a close working relationship with animal control facilities in the area, we are not legally allowed to pick up stray animals. Being a no kill rescue coupled with the high volume of Intake Surrender Applications, we are only allowed to take in animals as animals are adopted. We never euthanize any of our shelter animals to make space for new animals needing to be surrendered. Our Intake fees help mitigate a portion of the initial cost of vaccinating an animal. Our intake fees are: Under 1 Year of Age – $40, Over 1 Year Of Age – $30, Litter/Multiple Under 1 Year Of Age – $25/per, Litter/Multiple Over 1 Year Of Age – $20/per, Total Surrender Fee Capped At $150, All fully vetted canines (up to date on DHPP, Bordetella, Rabies, & Spayed/Neutered), will have a $10 surrender fee (Fully vetted canines will still require a Negative Idexx Parvo test if under 1 year of age, Prevention, and a Microchip).
I have read and understand this information on surrendering.
You Must Read and Accept Below
(Required)
I UNDERSTAND THAT THE INDIVIDUAL SUBMITTING THE FORM MUST BE THE SAME INDIVIDUAL AT THE SURRENDER APPOINTMENT.
What is the first name of the person surrendering the animal(s)?
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What is the last name of the person surrendering the animal(s)?
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What is the physical address of person surrendering the animal(s)?
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Street Address
City
State / Province / Region
ZIP / Postal Code
What is the phone number of person surrendering animal(s)?
(Required)
What is the email address of person surrendering animal(s). Create a free email at gmail.com if you do not have one.
(Required)
List the names of each animal being surrendered.
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What is estimated breed of animal(s)?
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What is the estimated age(s) of animal(s)?
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What is the sex of animal?
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Is the animal spayed/neutered?
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What is the Name of the Veterarian Clinic the animal records are under?
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What is the phone number of the Veterinarian Clinic the animal records are under?
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What is the name of the person the animal records are under?
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Is this animal a part of a litter? If yes, how many are in the litter?
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Is this animal a stray?
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Yes
No
How long has this animal been in your care?
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Why are you surrendering this animal?
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Where is this animal kept?
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Indoor Only (Out to potty and play)
Outdoor Only
Outside during the day, Inside at night
Please list any health conditions of the animal:
(Required)
Has the animal ever bitten another person or animal?
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Yes
No
Unsure, Stray Animal
If the animal has bitten another person or animal, Please explain what happened:
(Required)
Is this animal house trained?
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Yes
No
Unsure, Stray Animal
Is this animal used to other people/pets? (Select all that apply)
(Required)
Kids
Adults
Cats
Dogs
Unsure, Stray Animal
Select All
Please describe the animal's behavior around kids:
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Please, describe the animal's behavior around adults:
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Please, describe the animal's behavior around cats?
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Please, describe the animal's behavior around dogs:
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Does this animal know any commands or had any prior training?
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Yes
No
Unsure, Stray Animal
If the animal knows commands or has had prior training, please describe below:
(Required)
What types of activities does this animal enjoy?
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Is this animal leash trained?
(Required)
Yes
No
Unsure, Stray Animal
Please list any unwanted behaviors or habits this animal presents:
(Required)
When this animal is eating, how do they react around other people and pets?
(Required)
Are there any parts of this animal's body they do not like being touched?
(Required)
Yes
No
Unsure, Stray Animal
If there are any parts of this animal body they do not like being touched, please list them below:
(Required)
Is this animal afraid of anything?
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Yes
No
Unsure, Stray Animal
If the animal is afraid of certain things, please describe them below:
(Required)
Upload Photo(s)
(Required)
Upload photos of all animal(s) you want to surrender.
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, gif, Max. file size: 50 MB.
Once your surrender application is submitted, please be advised that it can take up to 7 business days in order to process the application. During the application process our Intake Coordinator may contact you requiring further information. Please make sure to check your voicemail and email, including spam. HSSET is a non-profit, no kill shelter and we do not readily have space available. If you are in need of immediate assistance, please contact your local animal control facility or sheriff's department.
(Required)
I Acknowledge
I understand and acknowledge that submission of this application does not grant that my application will be approved and does not guarantee HSSET will be able to accommodate my animal.
(Required)
I Acknowledge
I understand that should the Humane Society of Southeast Texas accept my surrender application that I will be required to sign a legal document transferring the ownership of my animal to the Humane Society of Southeast Texas. I understand that I will be relinquishing all legal rights to the animal(s) and authorizing the Humane Society of Southeast Texas to do what they deem is best for the animal(s). I understand that I will not be called to discuss any information pertaining to the animal(s) after surrender.
(Required)
I Acknowledge