Dog Surrender Request
Dog Surrender Process – Pennington County Humane Society operates under a managed admission policy, which means we accept animals by appointment only and based on space availability. Please note that submitting a surrender request form does not guarantee we can take in your pet. Each request is carefully reviewed by our team, and if space is available, we will reach out to schedule an intake appointment and complete the surrender process. Due to an unprecedented number of surrender requests this year, we are working hard to prioritize urgent and high-need cases to ensure the best care for each animal. Surrender fees are based on income to help make this service accessible while supporting our shelter operations.
Pennington County Humane Society does not have the resources to pick up said animal/s. You would need to bring the animals to our facility. Can you transport the surrendered animals to our facility?
Yes
No
Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Are you the legal owner of this dog
*
Yes
No
Owner Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Reason for surrender? Examples: moving, allergies, behavioral concerns, financial hardship, changes in household, etc.
*
Where did you get this dog from? Examples- Pet Store, Breeder, Online, Friend, Shelter.
*
Have you tried to rehome this dog outside the shelter environment?
*
Yes
No
Dog Information
Dog Name
*
Litter of Puppies (Number of Puppies)
Breed (s) Best Guess if unknown
*
Age or Estimated Age
*
Gender
*
How long have you had dog?
*
Size of Dog (When grown if not already)
*
XSmall (5-20 lbs)
Small (20-30 lbs)
Medium (30-50 lbs)
Large (50-90 lbs)
XLarge (90+ lbs)
Does the dog have a bite history or aggressive behavior towards people or other animals?
*
Yes
No
If you said yes to the previous question please provide detailed information.
What Types of Dog Temperament would best descibe your dog?
*
Confident Dog
Timid Dog
Independent Dog
Velcro Dog
Laid Back Dog
Aggressive Dog
Friendly
Is the dog spayed or neutered?
*
Yes
No
Unknown
Do you have proof of vaccines?
*
Yes - my dog is are vaccinated, and I DO have vet records.
Yes - my dog is vaccinated but I DO NOT have vet records.
No - my dog is NOT VACCINATED
Is there anything we should know about the dog's medical history? Please include any diagnoses, medications, surgeries, chronic conditions, allergies, or ongoing treatments. If your dog is currently under veterinary care, let us know the clinic name if you're comfortable sharing—it can help us continue care without interruption. Examples: history of seizures, past injuries or surgeries, food allergies, ongoing skin issues, arthritis, special diet needs, etc.
*
Is the dog good with the following? Please check all that apply to your dog’s experience and comfort level.
*
Other dogs
Cats
Small animals
Farm Animals
Has not been around other animals.
Men
Women
Children
Unfamiliar People
Dog was housed
*
Oudoors
Indoors
Both
Is the dog housetrained?
*
Yes
No
Paper/Pad Trained
If not housetrained how often do accidents occur?
How did you let the dog outside?
*
Free off leash
Tie Out
To a fenced yard
Zip line
On leash
Other
What food and feeding schedule is the dog on?
*
Is the dog crate trained?
*
Yes
NO
Other
Does the dog understand the following?
*
Rows
Does Not Know
Learning
Knows
Unknown
Sit
Down
Off
No
Drop it
Leash Skills
Come/Recall
Treat
Heel
Speak
Fetch
Leave People/Other animals alone
Gentle
Load up
Car
Bed/Crate
Shake/Paw
Stay
Wait
Does the Dog have destructive behaviors?
*
Yes
No
If the dog has destructive behaviors, please provide detailed information.
Does your dog show any possessive/aggressive behaviors?
*
Yes
No
Unknown
If the dog has possessive and/or aggressive behavior please provide detailed information.
Is your dog good at the vet?
*
Yes
No
Unknown
Where does your dog sleep at night?
*
Crate
Dog Bed
Human Bed
Free Roam inside
Outside
Tell us what brings this dog joy! What toys do they love (tennis balls, squeaky toys, puzzle feeders)? Do they enjoy fetch, tug-of-war, car rides, swimming, or curling up on the couch? Are there any favorite treats that get their tail wagging—peanut butter, cheese, ice cubes, jerky, or anything else? The more we know about what makes them happy, the better we can help them settle into a new home that feels just right.
*
We know every dog has their quirks. Please let us know about any challenges you've experienced or fears your dog may have. Examples: chewing household items, jumping on people or counters, separation anxiety, food guarding, fear of storms, loud noises, strangers, or being left alone. Understanding these behaviors helps us place your dog in a home that’s prepared to support them—and maybe even love them all the more for it.
*
Information for the Next Owner. Please help us set this dog up for success by sharing anything you think their new home should know. This could include helpful habits, comfort routines, or even a favorite spot to be scratched! You might include: Daily routines or schedules (mealtimes, potty breaks, naps, bedtime). Favorite toys, games, or walks Known commands or hand signals Personality highlights (e.g., cuddly, goofy, independent, alert). Special needs or sensitivities (e.g., prefers soft bedding, startles at sudden movements). Things that make them feel safe or calm. Any transition tips or things that helped them adjust to your home Quirks that make them uniquely lovable. The more we know, the better we can match them with the right family and provide a smooth, loving transition.
*
UPLOAD CLEAR PICTURE/S, INCLUDE ANY MEDICAL DONE
*
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