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

Your Name (first and last)*

Street Address*

City*

State*

Zip Code*

Your Phone Number*

Your Email Address*

Preferred Contact Method

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

Please attach any veterinary records

Max. file size: 512 MB.

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?

Please attach a photo of your pet

Max. file size: 512 MB.

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Phone

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

Email*

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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