Ferret Surrender Form – Rocky Mountain Mink Refuge

Ferret Surrender

Please fill out the form to the best of your ability with as much information as possible. Rocky Mountain Mink Refuge takes in ferret surrenders free of charge, but any accompanying donations are much appreciated and used towards the care of the surrendered animals as well as others in the rescue. Bonded ferrets will always remain together and not be separated.

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Owner Information - Step 1 of 6

Owner Information

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Phone number must be provided for ease of contact. After the Surrender you can be placed on Do Not Call/Text if so desired.

Receive Calls/Texts or Emails in future from RMMR?

Yes, receive Emails from RMMR
No, place on Do Not Email list
Yes, receive Calls/Texts from RMMR
No, place on Do Not Call/Text list

How many are you surrendering?

Selected Value: 1

Confirm Email

Email must be provided for ease of contact. After the Surrender you can be placed on Do Not Email if so desired.

Please sign that you understand that Rocky Mountain Mink Refuge is accepting the ferret(s) as a surrender and not a sale.

Clear Signature

Animal Information

Ferret Info

Name

Animal Image

Click or drag a file to this area to upload.

Please upload photo of the ferret being surrendered.

Microchip #

Did you receive this animal as a kit (baby)?

Did this animal have a prior home before you?

Gender

Age

Color

Distemper Vaccinated (Nobivac/Purevax)

Rabies Vaccinated (IMRAB-3)

How long has this animal been in your care?

If you did not receive this animal as a kit, please indicate the age they were when you received them in the above as well.

Medical Information

Please provide as much possible information as accurately as possible to ensure the ferret(s) gets the correct care.

Did you see a vet during your ownership?

Yes, I have been to a vet.
No, I have never been to a vet.
I have details about the vet seen before my care began.

Clinic Name

Clinic Address

Address Line 1

City

State

Zip Code

Upload Business Card

Click or drag a file to this area to upload.

You may also upload a photo of the vet's business card.

Veterinarian Name

Clinic Phone

Clinic Email

Most Recent Visit

Please list the date of the most recent visit the ferret(s) you are surrendering has seen a vet, it doesn't have to be your regular vet if they had seen another.

Most Recent Visit Ferret #2

Please list the date of the most recent visit the ferret(s) you are surrendering has seen a vet, it doesn't have to be your regular vet if they had seen another.

Most Recent Visit Ferret #3

Please list the date of the most recent visit the ferret(s) you are surrendering has seen a vet, it doesn't have to be your regular vet if they had seen another.

Most Recent Visit Ferret #4