The Georgia Rat & Mouse Club of America

Surrender Application

Your Information

Please fill out the form below if you are surrendering your rats and/or mice to the GARMCA.

It is important that you fill out the application completely and honestly.

Please review our Rescue Policy before you fill out this application form.

Your Pet's Information

Surrender Information

I will be surrendering the following cages and/or supplies along with my rats and/or mice. Most of these resources will be adopted with the rat(s) or mouse(mice) at the time of the adoption to the new owner.

Date of when the last new rodent was brought into the house/colony was:

Thank you for submitting our form!

We will contact you as soon as possible once we have recived your submission.

Please use the large multi-line entry box for litters and for additional entries.

Use this area for multiple enteries or litters.

Enter the same information in the boxes

below as you would for the above individual entries.

Full Address:

Description:

Description:

Temperament:

Temperament:

Description:

Description:

Temperament:

Temperament:

Cage(s) Description:

Supplies Description:

Known Health Issues:

Known Health Issues:

Known Health Issues:

Known Health Issues:

The reason(s) I am surrendering this/these pet(s) is:

Is there anything else you would like to add or to be made aware of?

Additional Entries:

Litter Entries: