Intake Form

Please note: Our rescue is currently overflowing. We are only able to accept new intakes in emergency situations. We apologive for the inconvenience.

Please fill out this form to the best of your ability. Provide as many details as possible. Remember we are here to help, not to judge. After the information has been submitted and reviewed, someone from the rescue will contact you. If you have not heard back from us within 24 hours, feel free to text or email.

Valid first name is required.
Valid last name is required.
Please enter a valid email address.
Please enter a valid phone number.
Please enter your address.
Please select a valid city.
Please provide a valid state.
Zip code required.

Description of Animal(s) Being Surrendered