Meriden Humane Society Canine Request to Surrender Form

Meriden Humane Society Canine Request to Surrender Form

Please fill out this form to add your canine to our evaluation and intake waiting list.

Owner Information
*
*
*
*
*
*
*
*
Canine Information
*
*
*
*
*
*
*
*
Up to date on shots:
*
*
*
*
*
*
Behavioral Issues
*
*
*
*
*
*
*
Please Note: Filling out this form does not guarantee you an evaluation appointment. As of 12/1/2018: MHS requests a $100 canine surrender donation.