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Please help us provide great care for this animal by thoroughly completing the following information. We know surrendering an animal is not easy but we are happy to help you find the perfect home for your loved one. If you are facing a hardship and need assistance with medical, supplies or temporary care, please email us at info@compassionkind.org to see if there are other options you can explore. We want what is best for you and your pet and do what we can to keep families together.

Name *

First Name

Last Name

Phone

(###)

###

####

Email *

Animal's Name *

Pet's Age *

Reason for Surrendering *

To your knowledge has this animal bitten or showed potential to bite in the past? *

If yes, please describe the incident.

I originally acquired my pet from *

I have owned my animal for *

I would describe my animal(s) as *

Select all that apply

A Family Pet

For Adults Only

A One Person Pet

Needs Home with Pets

House Trained? *

Crate Trained? *

For how many hours at a time is he/she left at alone in a day? *

My animal currently lives with: *

Check all that apply

Children

Dogs

Cats

Other small animals

How does your animal behave towards these and other animals it interacts with? *

Is your animal *

Where do you keep your animal during the day? *

When left alone my animal *

Barks/Meows

Chews personal items

Scratches on doors, windows, floor etc

Urinates/defecates indoors

Does completely fine free

Does completely fine in crate

My animal is afraid of: *

Check all that apply

Strangers

Bad weather

Being Left Alone

Vet Appointments

Loud Noises

Car Rides

Children

Other?

My animal knows the following basic Commands:

dogs only

Sit

Down

Heel

Stay/Wait

Come

Speak

Please describe your animal’s overall demeanor: *

My animal has the following health concerns *

put n/a if none

My animal is currently on this medication: *

put n/a for none

Other helpful information about my animal:

Please review and sign below acknowledging the following: *

The above information reflects the animal in which I am surrendering to Compassion Kind Rescue. I am the owner of this animal and have full right to surrender him/her. I will provide all medical records I have to Compassion Kind Rescue. I understand that I cannot ask for this animal back after this form is submitted to Compassion Kind Rescue and this animal is now under the complete ownership of Compassion Kind Rescue. My electronic signature below reflects that I have read and understand the information provided above and I am hereby releasing all rights for this animal to Compassion Kind Rescue.

Thank you! Please email us with photos of your pet to info@compassionkind.org.

Waggle, a 501(c)(3) not-for-profit organization, is dedicated to keeping companion animals and their families together. Waggle has already provided over $1M to the community of 1,000 veterinary hospitals to save 5,000-plus pets, who were at risk of falling victim to economic euthanasia.
Here are but a few of Waggle success stories, all with happy endings: https://www.waggle.org/success-stories.

To add your pet to Waggle and get the support you need, add your pet here.

Connect With Us

727-228-0070 info@compassionkind.org

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Thank you!

“Compassion is the way forward.”

— AjaNikiya Estro | Founder

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Compassion Kind is registered as a 501(c)(3) non-profit organization. Contributions to CK are tax-deductible to the extent permitted by law. CK's tax identification number is 82-2991426.