Surrender Form- Dog

Surrender Form

Please complete this form thoroughly and honestly. Riverview Rescues does not shy away from challenging animals when we have appropriate placements for them. The more accurate and detailed your information, the better chance your animal has for proper placement and a successful future. Our priority intakes include: Strays, homeless, abandoned, abused, and injured animals. We encourage you to reach out to other rescues as well, as we prioritize intakes based on the individual animal’s level of risk. Owned animals are generally not considered high-risk, as they have a human advocate to speak for them.
Animal Owners Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date

MonthDayYear
Date
What is the name/s of your animal?
How many animals are you looking to surrender?*

1234+
Age or ages of dogs*
Breed Of Dog*
Are you the legal owner of this animal ? If no, Have the legal owner of this animal fill this form out as this form will not be considered. *
Is your animal spayed or neutered? If no, why? If yes, When? *
Has your dog ever had a litter, or been a stud to a litter? If so, how many babies were born. Any complications with the litter? *
Is your dog up to date on shots? If yes, specify your vet information. *
How is your dog with people inside the home? *
Does your dog live with kids? If yes, how is your dog with them and what are their ages? *
Has your dog ever bitten someone? If yes, please explain the situation leading up to the bite or bites? *
How is your dog with dogs? Inside and outside the home. *
How is the initial meeting with your dog meeting other new does that do not live inside your home?*
How is your dog with cats and small animals ?*
Has your dog ever killed a dog, cat, bunny or small animal ? *
How long have you owned your animal?*
How much exercise PER day is your dog getting? Please be honest. *
Why are you surrendering your animal? What has led you to this decision?*
Is your animal microchipped? if yes, please provide the number and the company used.
Have you consulted a trainer for any behavioural issues with your dog? *
Due to the overpopulation crisis caused by backyard breeding, and not sterilizing household pets- rescues are overwhelmed and overcrowded. Do you understand that there is a ,minimum $250.00 surrender fee associated with surrendering a dog to our rescue. These fees go towards their vetting and care. This fee is due upon agreement of the rescue to take in your dog and must be paid to riverviewrescues@gmail.com Do you understand and agree to pay the fee*
Please include as many details as possible for the dog you're surrendering.
Do you understand that surrendering an animal revokes all rights you had to your animal and the animal is now the property of Riverview Rescues ? You will not be apart of the foster/adoption process and we will not release any foster or adopters personal information under any circumstance.*

YesNo
Please include some pictures of your animal you're surrendering.

Cancelof
Please include any vetting paperwork you have.

Cancelof
Signature*

Clear
Should be Empty: