Request Pet Rehoming Services Pet Re-Homing Request Form If you would like to have us help you locate the perfect family with whom to place your family member, please fill out this form. Please be sure to provide as much information about your pet as possible to help us create a meaningful profile to show our potential adoptive families Please note: If you need to rehome more than 1 pet, you can submit information for each additional pet here: Additional Pet Rehoming Form. Your Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email Enter Email Confirm Email PhoneCellBest Time To Reach You : HH MM AM PM Name of Pet Photo of PetType of PetDogPuppyCatKittenOtherIf Other, Please Add Type of PetBreed of PetSex of Pet Male Female Age of PetSize/Weight (if Dog)Pet's Color and Coat TypeSpayed/Neutered? Yes No Up to date on vaccinations? Yes No Unknown Is pet microchipped or tattoed? Yes No Unknown ID / RegistryPlease provide your pet's microchip ID and information on whom the new owners will contact to transfer ownership information once a good home is found.Does this pet get along with cats? Yes No Unknown Does this pet get along with dogs? Yes No Unknown Is this pet good with children? Yes No Unknown Is this pet house broken or litter trained? Yes No Unknown (If dog) Is this pet crate-trained? Yes No Unknown Does Your Pet Have Any Health Problems? Yes No If yes, please provide details:Does Your Pet Have Any Behavior Problems? Yes No If yes, please provide details:Please Describe Your Pet's PersonalityPlease try to list 5 things that you love about your pet:What is your home environment like?Please Tell Us A Little About Your Family:What are your pet's favorite toys, foods, activities?If possible, please tell us a funny, cute or heartwarming story about your pet.For What Reason(s) are you needing to rehome your pet?Please describe what you are looking for in an adoptive family/home for your pet:What supplies and accessories will come with your pet?Do you hope or intend to stay in touch with your pet in it's new home? Yes No Unsure Additional Comments or InformationYouTube Video of Pet (optional) VETERINARY RECORDS (Optional - this information can be provided later, if desired) Please provide the name and contact information for your pets' veterinarian. This information will be needed by the new owners, so that they can have the records transfered to their veterinarian.Veterinarian Name: First Last Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State PhoneEmail REHOMING SERVICES FEE The safety and effectiveness of our private pet rehoming services rely on our ability to pay for targeted advertising for your pet, and careful screening of potential owners. We charge a reasonable one-time intake fee to rehome each pet, which gives us a fund from which to pay for these expenses. Please note: If you would like to speak with one of our pet rehoming coordinators before paying this fee, please select "I will submit fees after consultation", from the drop down menu below. If you are only in need of assistance locating a home for your pet, but would prefer to skip our extensive screening/placement guidance services and rehoming guarantee, please choose the "basic" service option. Questions? Feel free to call (888) 720-3322 or email [email protected]Pet Rehoming Services Fee* Please choose the pet rehoming package you require:1 Pet Rehoming Fee - $149.952 Pets Rehoming Fee - $239.953 Pets Rehoming Fee - $329.954 Pets Rehoming Fee - $419.95BASIC PET REHOMING ASSISTANCE $49.95I WOULD LIKE TO SPEAK TO COORDINATOR BEFORE PAYING FEEBy submitting this information and signing below, I hereby state that I am the owner of the pet referenced above, and that I authorize Pet Rehoming Network to provide private pet rehoming services on my behalf for the service fee detailed above, payable before services begin.Terms of Service*I hereby acknowledge that I have read and agree to the terms of service as set forth on this website. Yes No Your Signature* Please Be Patient It may take up to 2 minutes for your information to be submitted to our rehoming team. Please check your email after submitting your information. You should receive email from our rehoming team with instructions for sending in photos/videos. Questions? You are welcome to call us toll free at (888) 720-3322. Our friendly and helpful team members are always happy to speak with you
