Furry Friendzy | WILDLIFE RELEASE

How did you hear about the Wildlife Release Site Program?

Newspaper
TV
Newsletter
Other

Application filing date:

County:

PART A: Address/ Phone Number

1. Property Owner

Full Name:

Mailing Address:

Street Address City State / Province / Region ZIP / Postal Code

Home Phone:

Work Phone:

County Road #, Hwy. Number/Letter:

2. Release Site Address

(if different)

Caretaker’s Name (if applicable) / Telephone :

Release Site Address:

Street Address City State / Province / Region ZIP / Postal Code

County Road #, Hwy. Number/Letter:

How often do you visit the release site property?

PART B: Site Information

1. What is the primary use of the land?

2. What is the primary use of the land directly adjacent to the proposed release site?

3. What species of wildlife have you seen on the property?

4. Are any pesticides/herbicides used on the property? If yes, which ones?

5. What kind of human use/traffic is the land exposed to?

PART B: continued
Please use the table below to describe the specifics of your property:

Total Acreage:

# of Wooded Acres:

# and Size of Ponds/Lakes

Brush Piles/Windfalls:

Developed Acres:

# of Farmed Acres:

# of Year-Round Creeks:

Undeveloped Acres:

# of Pasture Acres:

Hunting Allowed?

Yes
No

Trapping Allowed?

Yes
No

Free-roaming Pets?

Yes
No

Farm Animals?

Yes
No

If yes, what species?

If yes, what kind?

Additional Vegetation:

Any Wildlife nuisance problems?

Unused Human Structures (please specify):

Additional Property Features:

* Please include photos of major property features/habitat if available.
PART C: Preferences

1. Are there any species you prefer to have released on the property?

2. Are there any species you prefer NOT to have released on the property?

3. Would you be willing to allow temporary or permanent placement of nest boxes, etc. on the property?

4. Would you be willing to periodically monitor nest boxes, etc. on the property?

5. Additional Comments:

PART D: Directions/Map

1. Please give detailed directions to the release site property from Plano, Texas.

2. Please draw/attach a detailed map of your release property (aerial and topographical maps welcome)

This program has been instituted to aid the Furry Friendzy in locating suitable sites for the release of individual rehabilitated wild animals. If you have any questions or concerns regarding the program or the information on this application, please contact the Furry
Friendzy by phone at 214 914-2535, fax at 214 661-7145 or e-mail at Pylar@FurryFriendzy.org I, the undersigned, hereby give the FurryFriendzy permission to release rehabilitated wildlife on my property. I may discontinue this agreement anytime upon written notification to Furry Friendzy.

Land Owner’s Signature:

Date

Furry Friendzy Signature:

Date

Please return completed application to:
Furry Friendzy Animal Rescue and Wildlife Rehab
P.O. Box 65
Dallas, Texas 75201