Owner Surrender

Surrendering a dog should be a last resort once all other options have been exhausted. This is an extremely stressful and confusing experience for all dogs and most issues that a dog would be surrendered for could have easily been resolved through training with a committed owner. If you wish to proceed, please fill out all sections of the following form. Please Use N/A In Sections That Do Not Apply. Please be completely honest and do not leave any information out as all information is crucial to help us find a suitable home for your dog. Omitting information could put us, the dog and the potential home at risk. Our job as a rescue is to minimize the chance that a dog or home would fail, the dog end up back into the system and in order to do this, we need any and all information.

  • Owner Surrender

Contact Information

Tell Us About Your Dog

Dog's Gender

Is The Dog Spayed Or Neutered

Photo(s) Of The Dog

Max. size: 512.0 MB

Has This Dog Ever Bit Anyone

Does This Dog See A Veterinarian On A Yearly Basis

Is This Dog Up To Date On Vaccinations

Is This Dog Currently Being Treated For Any Medical Conditions

Has This Dog Been Diagnosed With And Or Treated For Any Medical Problems Past Or Present

Has This Dog Ever Received Any Medical Surgery

Is This Dog Currently Receiving Any Medication

Is This Dog Eating A Prescription Diet

Which Type Of Food Does This Dog Eat

How Often Is This Dog Fed

How Would You Describe This Dog's Personality

Where Does This Dog Spend Most Of Its Time

Has This Dog Regularly Been Around Children

Who Is This Dog Most Comfortable WIth (Select All That Apply)

Does This Dog Show Any Aversion To Any Of The Following. If Yes, Click All That Apply

Are There Any Habits This Dog Has That You Are Not Fond Of

Is This Dog House Trained

Is This Dog Crate Trained

Has This Dog Received Any Obedience Training

What Basic Commands Does This Dog Know (Select All That Apply)

Is This Dog Used To Being In A Fenced Yard Or Area

Will This Dog Chew When Left Alone

How Does The Dog Spend Its Time Alone

Is The Dog Crated During The Night