MANITOBA FERRET ASSOCIATION SURRENDER AGREEMENT

DATE: ______________________________

1. Name of Ferret:_______________________
Single_______
Part of a group of #___________________________
Male______ Female______
Altered_______
Descented_______
Tattoo_______
Micro-chipped________
Age________
Date of Birth___________________
Purchase from:__________________________________

Pairs/groups will be placed together whenever possible.

2. Vaccinations: Distemper_______
Date of Last Inoculation:_____________________________
Rabies_________
Date of Last Inoculation:____________________________
Complications: Yes_____ No_____
Explanation:_________________________________________________ _____________________________________________________________________ _____________________________________________________________________

3. Medical History: Name of Vet with Ferret's Records: ___________________________________________ Address________________________________________________________ Phone_____________________________________
Name records are under:______________________________________
Allergies: Yes____ No____
Explanation:_________________________________________________________ ____________________________________________________________________

E.C.E. Yes_____ No_____ When______________________________________
Surgeries: Yes_____ No_____
Explanation:__________________________________ _____________________________________________________________________ _____________________________________________________________________

4. Type of Food(s) the ferret eats:______________________________________ ___________________________________________________________________

Type of Treats the ferret enjoys:____________________________________ _______________________________________________________________

Type of Foods/Treats the ferret Won't Eat:___________________________ _______________________________________________________________

5. General Care History: Bites: Yes____ No____
Correction Method Used: __________________________________________________________________________ ___________________________________________________________________________
Caged when not interacting with owners: Yes_____ No_____
Comments: ____________________________________________________________________ ____________________________________________________________________

Enjoys baths: Yes____ No____ How Often:_______________________________
Nail Clipping: How Often_________________________
Familiar with other pets: Yes____ No____ Please Identify:___________________________________________

Comfortable around children: Yes_____ Ages___________________ No_____
Around Strangers: Yes_____ No_____
Any recent losses such as a cagemate: Yes____ No____
Explain:_____________________________________________ ____________________________________________________________________ ____________________________________________________________________

6. Reason for Surrender:___________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

TRANSFER OF OWNERSHIP

It is understood that the ferret is being surrendered for its continued welfare and that the Manitoba Ferret Association Shelter accepts said ferret in an as is condition. It is further understood that the Manitoba Ferret Association Shelter assumes full ownership, thereby full responsibility, for any current or future illness while the ferret is in the custody of the shelter. It is also understood that the surrendering party has the legal right to surrender the ferret to the shelter.

There is a reconsideration period of not more than 72 hours if requested, so that the surrendering party may rethink the decision. If a decision to reclaim the ferret is made, the owner will pay all boarding fees and any medical fees incurred during the 72
hour grace period. The ferret will not be placed before that time and can be reclaimed only by the person signing below.

Total confidentiality will be observed unless the surrendering party wishes to communicate with the adopting party. The request must be put in writing for the adopting party's acknowledgment.

The Manitoba Ferret Association reserves the right of refusal in placing any ferret so surrendered, if, in their judgment, certain prerequisites of ownership are not met. No ferret will be placed anywhere that restricts or bans ownership of ferrets specifically or by inclusion. Nor shall any ferret be knowingly placed in a home or institution for the purpose of ritual, rite or medical experimentation.

The Manitoba Ferret Association guarantees the surrendering party that their ferret will receive the utmost in care and consideration in the placement with a new owner. Future contact with the new owner will be done in the interest of continued health and welfare concerns.

The Manitoba Ferret Association Shelter operates as a shelter as a service to ferrets and as such is not a business.

I hereby certify to the best of my knowledge that all the above information is true and complete. I give up all rights to the above named ferret.

Signed:_________________________________________ Date:_____________________
Signature of Ferret Owner

Address:_____________________________________________ Phone:___________________________________________

I agree to have communication with the adoptive party of my ferret.

Signature:__________________________________________________________________
Contact number___________________________________________________

72 - Hour Grace Period Requested:______ I will advise the shelter of my decision by phone:_____

Will you be making a donation today to help with the care of your ferret? _______

Ferret Received into the shelter by:_______________________________________________
MFA No
Kill Shelter Representative

Revised: September 2000