Surrender

Dog Surrender Application Form

Please answer all the questions to the best of your knowledge. You will need to attach 2 photos of your dog at the end of this form to complete this application.
Tell us your name
Tell us your mobile number
Tell us your full address (inc postcode)
Tell us your email address
Tell us your dogs name
Tell us your dogs age/date of birth
Tell us the breed of your dog
Tell us where you acquired your dog from
Breeder, rescue (which one), friend, etc.
Is your dog
Is your dog neutered
Please tell us the microchip number of your dog
Are your dogs vaccinations up to date? If you answer yes you will need to provide proof of the vaccination expiry date.
On what date does the vaccinations expire.

DayMonthYear
Date
Getting your dogs vaccinations up to date costs the charity at least £40. Are you in a position to help cover the cost of this should your dog be admitted into the rescue centre.
Tell us about your dogs medical condition and history.
How does your dog react when it sees other dogs outside the home?
Does your dog share a home with children?
Does your dog suffer from anxiety? If so tell us the reaction and what causes it.
Tell us about any fears your dog has.
Has your dog ever bitten or gone to bite another animal? If so please give details.
Has your dog ever bitten or gone to bite a person? If so please give details.
Does your dog show aggression/dominance to people/animals? If so please give details.
How does your dog react to strangers?
Is your dog house trained?
Does your dog settle well when left in the home alone?
Tell us why you need to surrender your dog into rescue.
You now need to upload recent photos of your dog. We will require at least 2 photos.

Please follow the guidelines below for sending photos.

The first photo needs to be a clear shot of your dog standing face on towards the camera but not taken from above.

The second photo needs to be a side shot of your dog, again not taken from above.
Following the photo guide above please upload photos of your dog here.

Upload Files Here

Cancelof
Use this space if you have any other information you want us to know about
Should be Empty:

Dog Surrender Application Form