Owner Surrender Request Form 

Due to high volume of request we receive , we are only able to accommodate those pets who reside within Los Angeles County, California. Please complete separate forms for each pet that needs to be placed on the wait-list. In order to be placed on our waiting-list , please complete the form below ( Incomplete applications will not be considered) and email as an attachment to eva@petrescuesolutions.org along with 3 current digital photos. You can also snail-mail your completed form and photos to this adress:  9872 E. Rush St. South El Monte , CA 91733. (626)-758-1977. 

 
Name *
Name
Address *
Address
Day Time Phone *
Day Time Phone
Home Phone
Home Phone
Today's Date
Today's Date
Pet Information - Intake fee $20 per Dog , $15 per Cat
Sex
Litter Information - $50 Intake fee for Litters
The mother must be spayed and proof provided to staff at Pet Rescue Solutions .
Puppies
Kittens
-Please note that filling out this application does not guarantee you a spot on the P.R.S waiting list . For you to be accepted in the waiting list , your application must first be approved by a Pet Rescue Solutions representative. Intake fees are to be collected at the time your pet is relinquished to Pet Rescue Solutions (P.R.S) is a non-profit , receives no government funding and relies on donations . Pets are accepted on a space available basis only (as determined by staff) . There is no guarantee your pet will be chosen. You will be called to bring your pet to the adoption center once staff determines that your pet can be accommodated (determines might include : size , breed age , temperament , coat, color, ect. ). We cannot accept aggressive , ill , injured feral or pets who are over 12 years old or less than 10 weeks old. If the pet is not spayed or neutered, please contact our low cost clinic , SNPLA 310-562-2633. Pets who are spayed or neutered will receive priority status when space becomes available . Please note that all donations cover vaccines , microchip , spay/neuter surgeries , dog / cat food , toys, bowls, kennels, collars , leashes, blankets , ect.
Date
Date
Time
Time
Signature
Signature