Surrender Application

Red River Old English Sheepdog Rescue, Inc.

Dog Surrender/Intake Request
We understand that surrendering a beloved dog is never an easy decision. At Red River Old English Sheepdog Rescue, our mission is to ensure every dog is given the care, compassion, and second chance they deserve.

Please complete the form below with as much detail as you can — this helps us provide the best possible placement and support for your dog. We’re here to help, not to judge, and we appreciate your trust in us during this difficult time.
Full Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Phone*

Area CodePhone Number
Alternate Phone:

Area CodePhone Number
About the dog
Animal's Name*
Date of Birth
Age*
Approximate Weight *
Sex*

MaleFemale
Tail?*

YesNo
Good With Dogs?*

YesNo
Good with Cats?*

YesNo
Good with Children?*

YesNo
House Trained?*

YesNoSometimesNot at all
Crate Trained?*

YesNo
Destructive Behavior?*

YesNo
Leash Trained?*

YesNo
Socialization*

Sweet and socialA little shy but warms upVery shyDefinitely abusedFear biter
Has Your Dog Bitten Anybody? If so, Please Explain.*
Altered (Spayed or Neutered)?*

YesNo
Does Your Dog Jump or Climb Fences?*

YesNo
Is your Dog up to Date on Vaccinations? Please Check all that apply.*

RabiesDistemperBordatellaParvovirusLeptospirosisCoronaParainfluenzaHepatitisI do not know
Has your Dog been Heartworm Tested?*

YesNoI do not know
Does Your Dog Have Heartworms?*

YesNoI don't know
Does Your Dog Have a Microchip? If known, Please provide the Microchip Number. *
Name of Food He/She is Currently Eating?*
What is Your Reason for Surrender?*
Additional Comments:
Please include pictures of the dog if available.

Browse Files

Cancelof
I hereby represent and warrant each of the following:

(a) That I am the rightful owner of the animal(s) that is the
subject of this Owner Surrender Form,

(b) That I have full and complete authority to convey, surrender and relinquish
the animal(s),

(c) That I am hereby willingly surrendering and releasing any and all of my property rights to the animal(s),

(d) That no other person has a right of ownership or property to the animal(s), that once I surrender the animal(s), the animal(s) may not be returned to me,

(e) By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.
I certify that the above information is correct.
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Red River Old English Sheepdog Rescue, Inc.

About the dog