Owner Surrender/Citizen Turn In

  • Select date MM slash DD slash YYYY
  • NameSexBreedAge (DOB)Description 
    Click the + sign to add as many as you need
  • How did you obtain the animal(s)? Shelter / Rescue / Pet Store / Stray, etc. Does he/she have health or behavioral issues? Good with dogs, cats, kids? Housebroken, (litter box trained, if cat) Please give as much detail as possible
  • Max. file size: 1 GB.
  • If you have vet records, please upload them here, otherwise skip
    Max. file size: 1 GB.

  • Lucky Chance Intake Info

    To Be Completed by Lucky Chance Admin

  • Select date MM slash DD slash YYYY
  • Rescue ID#LCR NameSexDOB/AgeDescription (size, color, markings, distinguishing characteristics): 
  • Please list all transporters below, click the + symbol to add more.
    Full NamePhone NumberVehicle License or Drivers License Number 
  • This field is for validation purposes and should be left unchanged.