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Gulf Coast Humane SocietyGulf Coast Humane Society

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        • (239) 332 0364

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        • (239) 332 0364

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  • Home
  • Adopt
        • Adopt

          • Adoptable Dogs
          • Adoptable Cats
          • Dolly’s Dream
          • Owner Surrender
        • (239) 332 0364

          Stay Connected

  • Ways To Give
        • Way To Give

          • Supplies Wish List
          • Pet Food 4 Furever Families
          • Second Chance Fund
          • Why to Give
          • Spay It Forward
          • Okan’s Fund
        • (239) 332 0364

          Stay Connected

  • Volunteer / Events
        • Volunteer / Events

          • Volunteer Opportunities
          • Senior to Senior Program
          • Community Service
          • Foster
          • Trap-Neuter-Return
          • Events
          • The Fast and The Furriest 5K
        • (239) 332 0364

          Stay Connected

  • Services / Clinics
        • Our Clinics

          • Veterinary Clinic
          • Spay & Neuter Clinic
          • Online Pharmacy
        • Pet Resources

          • Dog Obedience Workshops
          • Pet-Friendly Rental Locator
          • Planning
          • Stop Dog Fighting
        • (239) 332 0364

          Stay Connected

  • About
        • About Us

          • Meet The Team
          • Media
          • Faq
          • Contact us
          • Board of Directors
          • Rescue Partnerships
          • Support Our Partners
          • Job Opportunities
        • (239) 332 0364

          Stay Connected

  • Contact
  • Donate Now
  • Home
  • Adopt
  • Donate
  • Our Clinics
  • Volunteer
  • Events
Gulf Coast Humane Society

Gulf Coast Humane Society is a 501(c)(3) not-for-profit, no-kill, animal welfare organization established as the first non-profit animal welfare organization in southwest Florida in 1947. 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 of caring for the neglected and abandoned pets of Southwest Florida. As a no-kill facility, the pets of the Gulf Coast Humane Society remain in our care until they find their forever home.

Gulf Coast Humane Society

2010 Arcadia Street, Fort Myers, FL. 33916

Phone

(239) 332 0364

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Copyright 2023 Gulf Coast Humane Society All rights reserved

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Owner Surrender Form

PET INTAKE FORM

Send medical records to ownersurrender@gulfcoasthumanesociety.org

Date(Required)

Pet Type(Required)
Age / D.O.B(Required)
Up to date on vaccines?(Required)
(Attach vaccine records)
Max. file size: 50 MB.
Is your animal current on Heart-worm/Flea Prevention? If so, list below and attach medical records(Required)

Max. file size: 50 MB.
Max. file size: 50 MB.
Who does your pet get along with?(Required)
Has your pet ever shown signs of aggression?(Required)
Any destructive habits?(Required)
Is your pet house broken / Litter trained?(Required)
Obedience training?(Required)

STATEMENT OF SURRENDER

I certify that I(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.

Date(Required)
Date
This field is for validation purposes and should be left unchanged.