Lucky Chance Rescue Lucky Chance Rescue
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Owner Surrender/Citizen Turn In

  • MM slash DD slash YYYY
  • Prior agreement has been made between Lucky Chance Rescue and owner to transfer temporary possession of mom and ownership of the litter of puppies to Lucky Chance Rescue. Once the puppies are weaned at 8 weeks old, Lucky Chance Rescue will cover the costs to spay mom at one of our approved veterinarians and return to owner after surgery is completed. The puppies will remain with Lucky Chance Rescue. This agreement must be made prior to surrendering to Lucky Chance Rescue. If no agreement has been made, Lucky Chance Rescue will take permanent ownership of mom upon surrender.
  • NameSexBreedAge (DOB)Description 
    Click the + sign to add as many as you need
  • SpeciesID#NameSexBreedDOB/AgeDescription (size, color, markings, distinguishing characteristics): 
  • 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
  • Drop files here or
    Max. file size: 1 GB, Max. files: 10.
    • 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

    • 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.


    • VET APPOINTMENT REQUEST
    • FOSTER REGISTRATION
    • OWNER SURRENDER FORM
    • SHELTER/RESCUE TRANSFER
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