Hedgehog Surrender Form – Western Washington Hedgehog Rescue

Name (First and Last): *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email Address: *

Hedgehog's name: *

Hedgehog's age: *

Hedgehog's sex? *

Description of your hedgehog (personality, color, etc.) *

Does your hedgehog have any known health issues? If so, has it seen a vet (please include any vet documentation you have as to diagnosis, what's been done, etc)? Is it on any medication at the moment, and if so, what med and what dosage? *

What food is your hedgehog eating now? Will you be able to supply some food with him/her to avoid a sudden upset with changing foods? *

What accessories will be included (cage, wheel, food, etc.)? *

What is the reason for relinquishing this hedgehog? *

Is there a specific date that the hedgehog needs to be out of your care, or can you keep him/her until a suitable home is found?