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 phone number *
Tell us your full address (inc postcode) *
Tell us your email address *
Tell us your dogs name *
Tell us your dogs age *
Tell us the breed of your dog *
Tell us where you acquired your dog from *
Is your dog *

Male Female
Is your dog neutered *

Yes No
Tell us about your dogs medical condition and history. *
How does your dog react when it sees dogs outside the home? *
Does your dog share a home with children?

Yes No
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. *
Is your dog house trained? *

Yes No
Is your dog okay left in the home alone? *

Yes No
Tell us why you need to surrender your dog into rescue. *
All dogs need to be assessed before they are signed over to our care. This is normally done at our rehoming centre however some assessments may need to be carried out by an independent dog behaviourist in your home. To help speed up the surrender process please tell us now if you are happy to have an assessment carried out at your home if required. *

Yes my dog can be assessed at home No my dog can't be assessed at home
Please tell us why your dog can't be assessed at home *
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

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Dog Surrender Application Form