Note:

Please understand that filling out this form is only part of the process of finding a new home for your pet. You need to contact us (click here) so that we can screen both you and your pet. We have to insure that those surrendering pets to our care are eligible for our services, and that the pets we accept for placement are suitable for adoption.

Please click here to download the form.

For those who would like to have a directive on file for Safe Place to care for their pet in the case that they pre-decease their forever friend, they can fill out the Directives for My Pet form (Click Here)!

Safe Place follows an equal opportunity employment policy and employs personnel and volunteers and serves clients without regard to race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender expression, age, height, weight, disability status, veteran status, military obligations, and marital status.