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Owner Surrender Process

Owner surrenders will be accepted on a case-by-case basis. We are happy to problem solve issues with you and help find ways for your pet to stay in your home if you are in need of additional support. We will evaluate our ability to take in owner surrenders week to week while we navigate space and funding shortages. Surrender fees for canines are $0-$150.

Please enter a number
Enter a Number
Please provide as much information as possible.
Please be sure to include any situation in which aggression, fear or reactivity is expressed by your pet.
Check all that apply
Please make sure to include vaccine reactions, past injuries, allergies, etc.
Click or drag a file to this area to upload.
If you have difficulties uploading a picture, please try with your cell phone. Your phone will automatically adjust the size of the file to fit the requirement of this form.
Click or drag a file to this area to upload.
If you have difficulties uploading a picture, please try with your cell phone. Your phone will automatically adjust the size of the file to fit the requirement of this form.
  1. I certify that I am 18+ years old.
  2. I certify that all information I have given on this form are true and correct.
  3. I understand that relinquishment fees will be due when I bring my dog in.
  4. I understand that should my dog not be suitable for the adoption program, WVHS staff may call me to give me the option to reclaim my dog.
  5. I understand that WVHS is happy to provide additional resources and advice to help me keep my pet.
  6. I understand that I am relinquishing ownership of my dog to West Valley Humane Society. I no longer will have the right to own my dog, make medical decisions, or choose placement.
  7. I understand that if I opt to participate in the Adopt From Home Program, I have relinquished ownership. I understand that WVHS can only provide medical care for the pet based on resources and diagnostic capabilities available to them. If my dog has previously diagnosed medical conditions, I will be responsible for providing medication until my pet is adopted.
  8. I agree to indemnify and hold harmless West Valley Humane Society, the attending veterinary, veterinary technician, any other WVHS employees and/or volunteers from any and all liability arising from the shelter taking ownership of my pet.
By signing above you are indicating that all information you have provided is truthful and accurate. By submitting the following form you are acting in good faith and giving the described animal irrevocably to the West Valley Humane Society for whatever disposition the shelter deems best, which could include euthanasia. I understand that having my animal fully vaccinated before coming into the shelter is the best option to keep my animal healthy. Please note that we may not be able to provide updates on any animal after they are surrendered or turned in as a stray.
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