Ferret Surrender Form

Please explain the situation that makes the surrender of the ferret(s) necessary:

How urgent is the need for surrender? Please explain:

Do you have a deadline you are dealing with? Please explain:

Is this an emergency?
Yes No

If yes, please explain:

Where did you acquire ferret(s)?

Please choose one: My ferret(s) have never been to the vet My ferret(s) have been to the vet regularly I have no idea if they have shots

Does the Ferret(s) have blue dots tattooed on right ear?
Yes No

Please list illnesses, surgeries, or any medical problems currently, or in the past.
Do they have any masses or bumps?

Veterinarian's Name, Address, and Phone Number:

Name of the HUMAN that the ferret(s) vet. records are filed under:

When is the next distemper shot due?

When is the next rabies shot due?

Favorite toys:

Favorite Treats:

Favorite Food (Specific Brand Name):

Prefers to Drink From: Water Bottle Bowl

Litter Trained? Yes No

Does the ferret(s) like baths? Yes No

Does the ferret(s) cooperate while having nails trimmed? Yes No

Does the ferret(s) bite?
(Please be honest, ferret will not be turned away for any reason) Yes No

Does ferret(s) get along with other animals? Yes No

What animals?

Does this ferret get along with children? Yes No

What age groups?

Does this ferret like attention and interaction of humans? Yes No

What things can you think of you think the person adopting this ferret should know? Please list as much information as you can think of. This will help finding the perfect home. (Or as close to perfect as we can get.)

How did you find out about us?

Would you like the adopter to contact you? Yes No
(adoptions are confidential unless both parties agree to contact)

I swear or affirm that I am the owner/guardian of the above listed ferret(s) and I am turning them over to Ferrets Unlimited Rescue Services for their well-being. I understand that Ferrets Unlimited will assume full responsibility for them and screen potential new owners and they will be adopted out if the prerequisites of ownership are met. I also understand that the vet listed above will be contacted and I give my permission for the above mentioned vet to release the medical information of the listed ferret(s).
Yes, I agree and release the ferret(s) records. No

Ferrets Unlimited Rescue Services operates as a 501 (c) (3) charity; as a service to ferrets and their owners, as such is not a business.

I have read the above and agree to the statement. Yes, I agree No

Today's Date:

Your Full Name:

Your Phone Number:

Your Valid Email Address:

Your address, city, state and zip code: (your information is confidential)