Surrender Form


Please provide the below information to inquire about surrendering one or more guinea pigs, and please read our surrender terms and agreements before completing this form. Please only submit if you are serious about surrendering.

Please provide the following contact information:

Name
Home Phone
E-mail

Choose one of the following options:

I want to surrender         

My Guinea Pig(s)           

My Guinea Pig(s)              spayed/neutered.

Hair Type                        

My guinea pig(s)               bitten anyone in the last ten days, to my acknowledgement.

 

Guinea Pig Age(s)       

I got this pig(s) from      in (month/year)

 

Habits/likes                     

Health Problems (if any)

Guinea Pig Name(s)      

Reason for surrendering

Additional Information    

 

I have read and agree to the surrender terms and agreements

 

Once you have completed the form please go back and make sure no mistakes have been made. When you are content, please click submit form


Copyright © 2006 Kimmie's Guineas Rescue All rights reserved.
Revised: 01/10/07

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