Surrender

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Surrender

Complete this form entirely if your wanting to surrender.
THIS IS NOT A PROMISE TO PULL YOUR PET!!!!!!!!!!!!!!!!!!!!!
We pull our rescues from local shelters only when we have a foster home available but if we can help you we will reach out to you by the information you provide.

Surrender Form

* Indicates required field

Location *

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dogs Name *

Dogs Age *

Reason for Surrender *

How long have you had the dog? *

Dogs medical concerns if any *

Dog friendly? *

Yes No

Cat friendly? *

Yes No

Kid friendly? *

Yes No

Has the dog ever been involved in a dog/cat/human fight resulting in injury to any party? *

Yes No

If yes, please explain *

Is food, toys or attention a trigger for the dog? *

Yes No

Where does the dog sleep at night? *

Crate trained? *

Yes No

House broke? *

Yes No

Has the dog had any professional training? *

Yes No

What food is your dog eating? *

Has dog ever bitten a human? *

Yes No

Any additional information you would like us to know *

Do you understand that this is not a promise to pull your dog in to our rescue? *

Please attach photos of your dog *

Max file size: 20MB

Submit

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Surrender Form