Parma Animal Shelter Patron Lost Pets Album Application

Provisions:

ü      Patron must provide a non-returnable photo of the pet.

ü      Mail to:  Parma Animal Shelter, Inc., 6260 State Road, Parma, Ohio 44134, ATTENTION: Shirl Palumbo The photo will appear on the Lost Pets Album page for a period of at least two weeks.

ü      The Patron must agree to inform the shelter when the animal is found.

This form must be signed and dated by the patron.

Patron  Signature                                                          Date

Address

Contact: _______________________(THIS WILL APPEAR ON THE INTERNET!)

            Your phone # or E-mail address

(The shelter bears no responsibility beyond posting the photo for the agreed upon period of time.  The patron will be the only contact regarding the pet recovery.)

Description for photo:  Male___Female___Age_____Weight_____Declawed_____

Date Missing____________Street Last Seen____________Breed___________________

Pet’s Name____________________________

Any distinguishing markings?_______________________________________________________________

This Lost Pets Album is available on a limited basis, as space permits.  The PAS, Inc.,  reserves the right to limit the amount of applications accepted.  Patrons who have exhausted all other means to find their pets i.e. advertising in the newspaper etc. will be considered for this program.

For Shelter use only:  ID#  ______________ Date on Page______________

Name of Patron_________________________________________________________________________

Phone__________________________Address________________________________________________

Pet’s Name____________________________

Notes_________________________________________________________________________________