Animal Surrender/Intake Request

Forever Love Saint Bernard Rescue
Dog Surrender/Intake Request
We understand that rehoming your dog is a very difficult decision and will do all we can to make it easier for you. Fill out this form to the best of your ability. Your answers will help us get to know the animal in question, and will ensure that if we are able to place the dog in a foster home or a new home, that the home is adequate for the needs of the dog. Above all, please be honest - failure to be honest with us can cause multiple issues, from the dog being placed in an incorrect foster with our program to legal issues for you and our rescue. We will do all we can to help, but cannot make any promises that information entered on this form will result in the dog being taken into our program.
Your Name*
Your Email*
Your Phone*
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Animal's Name*
Breed*
Color(s)*
Under 8 weeks8 weeks to 4 months4 months to 1 year1-3 years3-6 years6-9 years9+ years
30 lb or less31-60 lb61-90 lb91-120 lbOver 120 lb
Sweet and socialA little shy but warms up when you're niceVery shyDefinitely abusedFear biter
Please explain.*
YesNoUnsure
Has your dog had any vaccinations, heartworm testing, any other vetting? If so, please describe.*
What is your reason for surrender?*
YesNoUnsure
YesNoUnsure
YesNoUnsure
Has your dog been around children? If yes, please provide ages.*
Has your dog been around other dogs? If yes, please provide breed & age.*
Has your dog been around other animals? If yes, please provide species and temperament/reaction.*
YesNoUnsure
If so, please explain.
When we take a dog, we provide all necessary care. 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 fundraise and pay for our rescue work out of our own pockets. It is partially funded by our adoption fees, but this typically does not cover all of our expenses during the year.
Amount of donation offered to help us cover the cost of vetting/caring for this dog?
Please take 3 good quality, well lit photographs of the animal and email them to us at
Foreverlovesaintrescue@gmail.com with your name and the animal's name in the subject of the email. If you have any videos of the dog, please send as well, or send us the links to them.
DISCLAIMER:

By clicking the submit button below, your answers to this form attests that the information you have given is accurate and true. You also agree that, upon being accepted into Forever Love Saint Bernard Rescue's program, you will voluntarily relinquish all claims and ownership of said dog to the organization known as Forever Love Saint Bernard Rescue and members thereof. You understand that you cannot reclaim the dog once the dog is in possession of Forever Love Saint Bernard Rescue and understand that the animal will be spayed or neutered, if needed, in accordance with Indiana state law. You agree to give up the dog's AKC registration papers (if available) and any and all medical records available. Neither Forever Love Saint Bernard Rescue nor members thereof shall be held responsible for the actions of the adoptive or foster family and/or dog. You furthermore certify that this dog is not vicious and has never shown signs of aggression towards human beings, unless otherwise noted above, and certify that this dog has never bitten anyone, unless otherwise noted above.
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Forever Love Saint Bernard Rescue

Dog Surrender/Intake Request