- Surrender Form

Name

Email Address

I certify that I am the true and rightful owner, or have the authority of the owner, of the guinea pig/s that I am requesting to surrender to Miss Piggy's Guinea PIg Lair any right of property in such guinea pig/s.

Yes

By submitting this surrender application form, I understand that I relinquish all ownership rights of the guinea pig/s Miss Piggy's Guinea Pig Lair Inc will provide all necessary care and consideration for rehoming the guinea pig/s.

I understand

Surrender terms and conditions acknowledgement and agreement.

I agree to the surrender terms and conditions

Suburb

Name/s of guinea pig/s being surrendered

Were these guinea pig/s adopted from us

Yes
No

If yes, what are their original adoption names? (if known)

Approximate age or D.O.B.

How long have you owned these guinea pigs?

Does this/these guinea pig/s have any medical conditions? If yes, what are they? (This information is required so the Refuge can place your guinea pig/s with a suitably qualified carer.)

Monetary donation (while MPGPL doesn't charge a surrender fee, a monetary donation of a minimum of $10 per guinea pig is appreciated. This donation will help feed and care for your guinea pig/s until a new home is found. It is up to the individual whether they choose to donate.)

Yes
No

Number of guinea pigs to be surrendered

How many guinea pigs per cage e.g. 1 cage with 2 and 1 cage with 1

Males - how many?

Females - how many?

If mixed gender, have they been housed together?

Yes
No

Are any of these guinea pigs desexed?

Yes
No

Reason for surrender

Will you be donating your guinea pigs' cage and/or accessories?

Yes, cage only
Yes, accessories only
Yes, cage and accessories
No

Miss Piggy's Guinea Pig Lair Inc.

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