Animal Surrender/Intake Request

Please fill out this form entirely if you are needing to surrender your dog. Currently we are only taking in Great Danes, or any breed Double Merle/Special Needs.

Your Name *

Your Email *

Your Phone *

What is the best time to call you? *

Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Animal's Name *

Breed *

Color(s) *

Age *

Under 8 weeks 8 weeks to 4 months 4 months to 1 year 1-3 years 3-6 years 6-9 years 9+ years

Approximate Weight *

15 lb or less 16-30 lb 30-50 lb 50-70 lb 70 lb+

Socialization

Sweet and social A little shy but warms up when you're nice Very shy Definitely abused Fear biter

Has your dog had any vaccinations, heartworm testing, has it been altered (spayed or neutered)? If so, please describe. *

What is your reason for surrender? *

Has the dog ever bit anyone? *

If dog has bitten someone, What happened to cause the dog to bite?

Is the dog good with Children?

Is the dog good with cats?

Good with other dogs?

What kind of food is the dog currently eating?

Does the dog have any medical issues that we need to be aware of?

Does the dog travel well in a car?

Anything additional you'd like us to know about the dog?

When we take a dog in, we keep it in our home with our family and pets, or with a home based foster. Whether it takes weeks or months to find it a home, we keep the dog with us and incur the cost of it's care and vetting. We do our best to fundraise and also pay for a lot of our dogs needs out of pocket. It is partially funded by our adoption fees, but this typically does not cover all of our expenses during the year. We do charge a $100 surrender fee per animal to help go towards vetting, and food that we will have to provide for the dog until it finds a forever home. This fee is due upon intake of the dog into our rescue, and must be paid by cash. If transport is required to get the dog to our rescue, we waive the surrender fee, and you are responsible for paying for transport. Transport fees are anywhere from $100-$250 depending on where the dog is coming from.

Please take 3 good quality, well lit photographs of the animal and attach below. We will respond to your surrender request within 24 hours.

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White Diamond Double Merle Dane Rescue Association

Dog Surrender/Intake Request