Pet Haven Return Form

To be completed by Pet Haven adopters.

Date*
MM slash DD slash YYYY
Adopter's Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Did you adopt a cat or dog?*
- Cat
- Dog
Adopted pet's name*
What date did you adopt your pet?*
MM slash DD slash YYYY
How did you pay the adoption fee?
- Online (credit card)
- Check
- Cash
What issues are you experiencing with your adopted pet?*
Please be specific and include any behavioral issues, medical issues, etc...
Are you open to working with a Pet Haven volunteer to help you work through issues?
Pet Haven provides guidance, support, and resources to adopters and is committed to helping you as a new pet owner.
Who was your pet's foster while in rescue? Have you been in touch with the foster? If so, please provide details of your discussions/emails and if the foster is planning to take the adopted pet back.
Please include any additional information for Pet Haven to know.
Vet Care Given*
- I have not taken my adopted pet to the vet.
- My adopted pet went to the vet while in my care but I do not have files.
- My adopted pet went to the while in my care and I have the files.
How long are you willing to keep your adopted pet?
Tell us about your adopted pet?