Animal Intake Form
First
Last
Where Was The Animal Found? ( address )
Where Was The Animal Found? ( address )
City
State
Zip
The WICCU appreciates your support and we rely on your generous donation to provide care. Thank you!
DONATE TODAY

It is understood by the parties to this Release Agreement that the releaser voluntarily releases the above-described animal to the Wildlife Intensive & Critical Care Unit free and clear of any claim of responsibility. I fully understand that I am releasing all rights to be involved in the animal's treatment, care, and placement. I further understand that this animal's treatment will be directed by a veterinary professional and may include humane euthanasia if deemed appropriate.

I have read and understood the above release conditions