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Your Name (first and last)*

Street Address*

City*

State*

Zip Code*

Your Phone Number*

Your Email Address*

Pet Type*

Rabbit

Guinea Pig

Hamster

Chinchilla/Degu

Other

If other, what kind?

Pet's Name*

Pet's Age or Approximate Age*

Pet's Approximate Weight*

Pet's Sex*

Male

Female

Unknown

Is your pet spayed/neutered?*

Yes

Unknown

How long have you owned this pet?*

Where did you acquire this pet?*

SafeHaven Humane Society

Other Shelter/Rescue (Please specify below)

Found as stray

Breeder/Pet Store

Private party/Courtesy posting

Family or friend

Other shelter or rescue:

If your pet is from another rescue or shelter have you tried returning your pet to them?

Yes

Has your pet ever bitten anyone or any animal?*

Yes

Unknown

Why are you rehoming this pet?*

If we could help resolve the issue, would you be interested in keeping this pet?*

What would you like new owners to know about this pet?*

Has your pet ever been seen by a veterinarian?*

Yes

Veterinarian seen

What food is your pet currently eating?*

Are there any places on your pet's body that they do not like touched? If so, where?*

Is your pet currently on any medication?*

Yes

If yes, which medications?

How would you describe your pet most of the time? (check all that apply)*

Affectionate

Playful

Shy with family

Shy with new visitors

Independent

Very active

Not active

What are your pet's favorite toys?*

This pet is compatible to live with (check all that apply)*

Babies/toddlers

School age children/teenagers

Visitors

Same species as pet

Cats

Dogs

Is your pet litter box trained?*

Yes

Is there anything else you want us to know about this pet that would help us care for them and would like adopters to know?

Name

This field is for validation purposes and should be left unchanged.

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Email*

Name

This field is for validation purposes and should be left unchanged.

SafeHaven Humane Society is a 501(c)3 organization.

Our tax-ID number is 93-0676661 and donations are tax-deductible to the extent allowed by law.

Hours

We are currently open 7 days a week:
12:00pm – 5:00pm

Address

32220 Old Hwy 34, Tangent, OR 97389

Contact

(541) 928-2789

info@safehavenhumane.com

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