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Magic Dragon Reptiles

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Surrender Form

Animal Species*

Animals Name*

Owners First name*

Owners Last name*

Email*

Phone*

Address*

Animals Estimated Birthday*

Month

Day

Year

Reason for rehoming*

Details*

Describe usual diet, enclosure set up, and habits. Include details on how long you have had them and what you know about their history.

Behavioral History*

Please describe if there have been any changes in behavior, any bite history, or anything else.

Where all have you contacted for rehoming?*

Photos of current enclosure*

Vet Clinic (if applicable)*

Animals surrendered are required to be sent with their enclosures and supplies. Do you agree?*

Yes

Other

No animal is guarenteed to stay in the ambassador program. Should they be deemed healthy and safe for rehoming, they will be placed with a capable and educated home. Do you understand and agree?*

Yes

Other

When able, we send updates to previous owners. Would you like to receive updates?*

Yes

Preffered contact method*

Text

Other

Would you like to leave a tip?

$10

$20

$30

All animal care is self funded. Please consider adding to the vet pool for our high medical needs animals. Alternatively, you can add a donation to our accounts at our local veterinarians offices. Please contact for information.

Magic Dragon Reptiles

magicdragonreptiles@gmail.com

Reptile Rescue, Sanctuary & Education
Milwaukie / Portland, Oregon

Serving Portland, Milwaukie, Clackamas, Vancouver, and the broader PDX metro

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