Completing this form does not guarantee Furry Friends Network will be able to place your dog/cat in our foster program or give assistance in helping to rehome your animal. This form will allow Furry Friends Network to assess your pet’s background, personality and needs. A time will be scheduled for us to meet your pet should the review of this form determine that is necessary.

Once you have submitted this form you will need to send a few digital pictures of your animal (standing, sitting, etc.). Please make sure that the pictures are no larger then 200k in file size. Email them to FurryFriendsInfo@verizon.net with the following in the subject line (Your Name, Animal's Name and the words PLACEMENT QUESTIONNAIRE).

Please note, Furry Friends Network will consider Owner Surrendered animals only from the Central Pennsylvania area. There is a $50.00 fee to surrender an animal to Furry Friends Network.

*Someone will contact you within 48 hours once the questionnaire and pictures are received.*

You may use the tab key to navigate through the form.


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GENERAL ANIMAL INFORMATION
Animal's Name
Species
Breed
Color/Markings
Age (provide date of birth if known)
Weight
Sex
   
Altered (spayed/neutered)
   
Date of spay/neuter surgery
Current on vaccines
   
Heartworm preventative given monthly
   
Declawed