Erie Pet Amnesty Day Registration

Be a Hero, Release Zero! Fill out this registration form to safely and responsibly surrender your aquarium pets on Saturday, November 12, 2022, from 11:00 AM- 2:00 PM at the Erie Humane Society. We will be accepting fish, turtles, amphibians, snakes, lizards, and other aquarium pets. 
1.First Name(Required.)
2.Last Name(Required.)
3.Address
4.Phone Number(Required.)
5.E-mail Address 
6.How many pets do you intend to surrender?(Required.)
7.Which species do you intend to surrender at this event? (you may choose more than one)(Required.)
8.Briefly describe the pet(s) you intent to surrender. Include information such as species or type, size, gender (if known), and any other details you would like to share.
9.Please indicate the reason(s) for surrendering your pet that most closely resonates with you. This question is optional; however,  the information will be used to help us in finding a suitable new home for your pet.
10.In which time slot would you prefer to surrender your pet(s) on Saturday, November 12, 2022?(Required.)
11.How did you hear about this event?