Mink Surrender Application – Rocky Mountain Mink Refuge

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Owner Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Layout

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

Email *

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 mink(s) as a surrender and not a sale. *

Clear Signature

Animal Information

Mink Bio

Mink Info

Mink #1 Info

Name *

Animal Image *

Click or drag a file to this area to upload.

Please upload photo of the mink 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.

Mink Bio 2

Mink #2 Info

Name *

Animal Image *

Click or drag a file to this area to upload.

Please upload photo of the mink 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.

Mink Bio 3

Mink #3 Info

Name *

Animal Image *

Click or drag a file to this area to upload.

Please upload photo of the mink 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.

Mink Bio 4

Mink #4 Info

Name *

Animal Image *

Click or drag a file to this area to upload.

Please upload photo of the mink 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.

Mink Bio 5

Mink #5 Info

Name *

Animal Image *

Click or drag a file to this area to upload.

Please upload photo of the mink 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.

Current Diet

Does the mink(s) eat raw? *

What food is currently being fed? *

Please list the brand(s) and what flavor. You may also upload a photo of this below for ease.

Upload Photo of Diet

Click or drag a file to this area to upload.

Please take a photo of the current food they are being fed and upload it here. This is an easy way to show the brand and flavor correctly.

Medical Information

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

Current Vet Contact Information

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 mink you are surrendering has seen a vet, it doesn't have to be your regular vet if they had seen another.

Most Recent Visit Mink #2

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

Most Recent Visit Mink #3

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

Most Recent Visit Mink #4

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

Most Recent Visit Mink #5

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

Do you have copies of the ferret(s) medical records, registration, etc.?

Yes, I will include them in the surrender
No, but my listed vet can provide
No, I do not have any documentation

Health Concerns

Mink #1 Health

Health Concerns

Dental
Fur Chewing (Clipping)
Tail Biting (Self-Mutilation)
Chordoma (common tail tumor)
Tumor
Heart Disease/Enlarged Heart
Lymphoma (Cancer)
Kidney Disease/Kidney Stones
Enlarged Spleen
Deaf
Blind
Fleas
Earmites
Digestive Issue/IBD
Rickets
No Known Issues
Other

Please check all that are applicable:

If you selected "Other" above, please indicate what:

Urgent Health Concerns

MVE (Mink Viral Enteritis)
Hepatic Lipidosis (Fatty Liver Disease)
Nursing Disease

If the mink is affected by any of these issues, please urgently let us know and whether or not they are already seeing a vet regarding them as these can rapidly prove fatal.

Is the mink on any medication?

Please note that if the mink is currently on a prescription medicine, that you should include any medication they have remaining with them in the surrender and any prescription details.

Is the animal currently injured?

If the mink is displaying any injuries, please list and detail them below, and whether they are currently receiving treatment for them or not.

Health Concerns #2

Mink #2 Health

Health Concerns

Dental
Fur Chewing (Clipping)
Tail Biting (Self-Mutilation)
Chordoma (common tail tumor)
Tumor
Heart Disease/Enlarged Heart
Lymphoma (Cancer)
Kidney Disease/Kidney Stones
Enlarged Spleen
Deaf
Blind
Fleas
Earmites
Digestive Issue/IBD
Rickets
No Known Issues
Other

Please check all that are applicable:

If you selected "Other" above, please indicate what:

Urgent Health Concerns

MVE (Mink Viral Enteritis)
Hepatic Lipidosis (Fatty Liver Disease)
Nursing Disease

If the mink is affected by any of these issues, please urgently let us know and whether or not they are already seeing a vet regarding them as these can rapidly prove fatal.

Is the mink on any medication?

Please note that if the mink is currently on a prescription medicine, that you should include any medication they have remaining with them in the surrender and any prescription details.

Is the animal currently injured?

If the mink is displaying any injuries, please list and detail them below, and whether they are currently receiving treatment for them or not.

Health Concerns #3

Mink #3 Health

Health Concerns

Dental
Fur Chewing (Clipping)
Tail Biting (Self-Mutilation)
Chordoma (common tail tumor)
Tumor
Heart Disease/Enlarged Heart
Lymphoma (Cancer)
Kidney Disease/Kidney Stones
Enlarged Spleen
Deaf
Blind
Fleas
Earmites
Digestive Issue/IBD
Rickets
No Known Issues
Other

Please check all that are applicable:

If you selected "Other" above, please indicate what:

Urgent Health Concerns

MVE (Mink Viral Enteritis)
Hepatic Lipidosis (Fatty Liver Disease)
Nursing Disease

If the mink is affected by any of these issues, please urgently let us know and whether or not they are already seeing a vet regarding them as these can rapidly prove fatal.

Is the mink on any medication?

Please note that if the mink is currently on a prescription medicine, that you should include any medication they have remaining with them in the surrender and any prescription details.

Is the animal currently injured?

If the mink is displaying any injuries, please list and detail them below, and whether they are currently receiving treatment for them or not.

Health Concerns #4

Mink #4 Health

Health Concerns

Dental
Fur Chewing (Clipping)
Tail Biting (Self-Mutilation)
Chordoma (common tail tumor)
Tumor
Heart Disease/Enlarged Heart
Lymphoma (Cancer)
Kidney Disease/Kidney Stones
Enlarged Spleen
Deaf
Blind
Fleas
Earmites
Digestive Issue/IBD
Rickets
No Known Issues
Other

Please check all that are applicable:

If you selected "Other" above, please indicate what:

Urgent Health Concerns

MVE (Mink Viral Enteritis)
Hepatic Lipidosis (Fatty Liver Disease)
Nursing Disease

If the mink is affected by any of these issues, please urgently let us know and whether or not they are already seeing a vet regarding them as these can rapidly prove fatal.

Is the mink on any medication?

Please note that if the mink is currently on a prescription medicine, that you should include any medication they have remaining with them in the surrender and any prescription details.

Is the animal currently injured?

If the mink is displaying any injuries, please list and detail them below, and whether they are currently receiving treatment for them or not.

Health Concerns #5

Mink #5 Health

Health Concerns

Dental
Fur Chewing (Clipping)
Tail Biting (Self-Mutilation)
Chordoma (common tail tumor)
Tumor
Heart Disease/Enlarged Heart
Lymphoma (Cancer)
Kidney Disease/Kidney Stones
Enlarged Spleen
Deaf
Blind
Fleas
Earmites
Digestive Issue/IBD
Rickets
No Known Issues
Other

Please check all that are applicable:

If you selected "Other" above, please indicate what:

Urgent Health Concerns

MVE (Mink Viral Enteritis)
Hepatic Lipidosis (Fatty Liver Disease)
Nursing Disease

If the mink is affected by any of these issues, please urgently let us know and whether or not they are already seeing a vet regarding them as these can rapidly prove fatal.

Is the mink on any medication?

Please note that if the mink is currently on a prescription medicine, that you should include any medication they have remaining with them in the surrender and any prescription details.

Is the animal currently injured?

If the mink is displaying any injuries, please list and detail them below, and whether they are currently receiving treatment for them or not.

Donations

Please note that donations are not a requirement for surrender at all, but are always appreciated and help us to continue our work in saving other lives.

Please tick if you are donating any of the following along with the mink(s):

Cage
Carrier/Travel Crate
Current Food
Bedding
Toys & Enrichment Items
Accessories
Cash Donation (Physical Cash)
Money Donation (PayPal, Venmo, Credit Card, Zelle, Cashapp, ACH, Check)

Upload Photo of Donation Items *

Click or drag files to this area to upload. You can upload up to 5 files.

Please upload photo(s) of what you will be donating it you ticked anything on the list above.

PayPal Donation

A monetary donation is not required to surrender, but it is always appreciated... and it is tax-deductible!

Legal Release

Please be aware that while we do our best to keep in contact with all approved adopters, it is considered a privacy violation to share their contact details with the previous owner. This is to avoid conflict and burdening the new owner with having to face potential "surrenderer's regret".
We have a very stringent adoption process and only let mink go to the best possible placements that meet all of our criteria. Please trust us in making the best choice for the sake of the animal.

Release

Signature *

Clear Signature

Please sign that you hereby legally surrender your ferret(s) into the care of Rocky Mountain Mink Refuge.

Date *

Mink Surrender

Owner Information

Animal Information

Mink Info

Mink #1 Info

Mink #2 Info

Mink #3 Info

Mink #4 Info

Mink #5 Info

Current Diet

Medical Information

Mink #1 Health

Mink #2 Health

Mink #3 Health

Mink #4 Health

Mink #5 Health

Donations

Legal Release

RMMR is a registered 501(c)(3) nonprofit organization.