Gulf Coast Humane Society

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  - - (239) 332 0364
      
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  - - (239) 332 0364
      
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Donate Now

Home
About
- - - About Us
      Blog
      
      Board of Directors
      
      FAQs
      
      Financials
      
      Job Opportunities
      
      Media
      
      Meet The Team
      
      Rescue Partners
  - - (239) 332 0364
      
      Stay Connected
Adopt
- - - Adopt
      Adoptable Cats
      
      Adoptable Dogs
      
      Dolly’s Dream
  - - (239) 332 0364
      
      Stay Connected
Contact
Events
Give
- - - Way To Give
      Legacy Planning
      
      Lifetime Pack Leader Club
      
      Okan’s Fund
      
      Pack Leader Club
      
      Pet Food Pantry
      
      Recurring Donation Program
      
      Second Chance Fund
      
      Spay It Forward
      
      Supplies Wish List
  - - (239) 332 0364
      
      Stay Connected
Medical Clinics
- - - Our Clinics
      Spay & Neuter Clinic
      
      Veterinary Wellness Clinic
      
      Online Pharmacy
  - - (239) 332 0364
      
      Stay Connected
Resources
- - - Pet Resources
      Dog Obedience Workshops
      
      Pet Food Pantry
      
      Pet Legacy Program
      
      Stop Dog Fighting SWFL
      
      Surrendering Your Pet
  - - (239) 332 0364
      
      Stay Connected
Volunteer
- - - Volunteer / Events
      Volunteer Application and Opportunities
      
      Foster Program
      
      Community Service
      
      Senior to Senior Program
      
      Trap-Neuter-Return
      
      What Our Volunteers Say
  - - (239) 332 0364
      
      Stay Connected
Donate Now

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6:00 pm

September 13 @ 6:00 pm - 8:00 pm

First Responder Appreciation Yappy Hour!

Bell Tower Shops 13499 S Cleveland Ave, Fort Myers

Join us Friday, September 13th from 6 pm to 8 pm for our First Responder Appreciation Yappy Hour!

Free

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Gulf Coast Humane Society is dedicated to being a safe haven for pets in need by providing medical care, promoting adoptions, and nurturing the bond between pets and people in Southwest Florida.

Our shelter does not receive any federal, state, or county funding and no funding from the Humane Society of the United States or ASPCA. We rely solely on donations, grants, bequests, and fundraising events to further our mission as stated above.

We are the most tenured 501(c)3 nonprofit, no-kill, animal welfare organization established in 1947 in Southwest Florida.

Gulf Coast Humane Society

2010 Arcadia Street, Fort Myers, FL. 33916

Phone

(239) 332 0364

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Cat Adoption Special

Owner Surrender Form

PET INTAKE FORM

First Name(Required)

Last Name(Required)

Phone(Required)

Email(Required)

Address(Required)

City(Required)

State(Required)

Zip(Required)

Date(Required)

Pet’s Name(Required)

Pet Type(Required)

Dog

Cat

Pocket Pe

Breed(Required)

Approximate Weight:(Required)

Color(Required)

Age / D.O.B(Required)

Sex(Required)

Fixed(Required)

Microchip(Required)

Up to date on vaccines?(Required)

Yes

(Attach vaccine records)

File

Max. file size: 50 MB.

Vet Name:

Vet Phone Number:

Why are you surrendering your pet?(Required)

Where did you acquire your pet?(Required)

How long have you had your pet?(Required)

Is your animal current on Heart-worm/Flea Prevention? If so, list below and attach medical records(Required)

Yes

Other

When last given

File

Max. file size: 50 MB.

Does your pet have any current or past health conditions or injuries? If so-list below and attach medical records(Required)

File

Max. file size: 50 MB.

Who does your pet get along with?(Required)

MEN

WOMEN

CHILDREN (1-3 years)

CHILDREN (4-7 years)

CHILDREN (8-11 + years)

DOGS

CATS

Has your pet ever shown signs of aggression?(Required)

Yes

If yes, was it provoked? Please explain

Does your pet live Indoors, Outdoors or both(Required)

What type of food does your pet eat?(Required)

Any destructive habits?(Required)

Yes

If yes, explain

Is your pet house broken / Litter trained?(Required)

Yes

Obedience training?(Required)

Yes

Please tell us about your pet and any special characteristic personality traits, or special needs:(Required)

STATEMENT OF SURRENDER

I certify that I(Required)

Do own the animal described above

Do NOT own the animal described above

I hereby surrender all interest to the Gulf Coast Humane Society. My interest in this animal has now been voided and I will not be given any information on the welfare or disposition of this animal.(Required)

Please type initials above

There is no minimum set time for holding this animal. The holding time depends on the animal’s health, behavior and adoptability. It is also agreed that neither said society nor its management and employees shall incur any obligation to me on the disposition of the above listed animal. I certify that this animal has not bitten another animal or human within the last 10 days. I have read and understand that I have surrendered my rights and interest towards this animal.

Signature(Required)

Date(Required)

The cost to care for and re-home pets can be in the hundreds of dollars for each animal that comes into our care. GCHS is a private, non-profit organization that does not receive government funding. We are also not affiliated with any national humane organizations. GCHS asks for a surrender fee to help subsidize this cost. The fee is non-refundable and will be collected only if we are able to accept your animal after its evaluation and required testing. Dogs - $100.00 if not spayed/neutered Dogs - $75.00 if spayed/neutered Cats - $50.00

Signature

Date

Phone

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

About Us

Adopt

Way To Give

Our Clinics

Pet Resources

Volunteer / Events

About Us

Adopt

Way To Give

Our Clinics

Pet Resources

Volunteer / Events