Goldens 901 Owner Surrender Form

Goldens 901 Owner Surrender Form

Email: Goldens901.info@gmail.com Website: www.Goldens901.com
Please complete one form for each animal being surrendered. Goldens 901 makes every attempt to find safe and loving homes for the adoptable pets surrendered to us. Please fill out the form entirely. If admitted, the detailed and accurate information you provide us makes it easier for us to place your pet in an appropriate home.
Owners Name:*
Co-Owners Name if applicable:
Address:*
City/State:*
Zip:*
Contact Number:*
Work Phone:
Email Address:*
example@example.com
Pet's Name / Nicknames:*
Sex: Male/Female*
Age (Approximate if unknown):*
Breed:*
Why are you surrendering your dog? Please provide as much detail as possible on the current situation.*
More Details about Your Dog

PLEASE BE VERY SPECIFIC WITH YOUR ANSWERS SO THAT WE CAN PROVIDE THE BEST CARE AND FIND THE BEST SUITABLE HOME.
Is your dog spayed or neutered? Yes No
How long have you owned your dog?
Is your dog destructive when left alone? Yes No
If yes, please explain:
Is your dog house trained? Yes or No
Is your dog crate trained? Yes or No
What cues does your dog know, if any?
Has your dog had previous training? Yes No
What veterinary does your dog go to?
Vet Contact Phone
When was your dog last at the vet?
When was your dog last vaccinated?
Does your dog have any known health related issues? Yes / No
If Yes please explain.
Has your dog been on Heartworm preventative? Yes / No What kind?
When was your dog last tested for Heartworms?
What was the test result? Positive / Negative?
Does your dog currently live with children? Yes / No If yes, what ages?
Please describe your dog's experience with children:
How Does Your Dog React?
To strangers?
To visitors in the home?
If you try to take away a toy or bone?
If you take your dog's food while eating?
Any additional comments:
Does your dog live with other dogs? Yes / No How many?
Does your dog get along with other dogs? Yes / No
If yes, please explain your dogs experience with other dogs:
If no, please explain:
Does your dog get along with other type animals? Yes / No
Does your dog live with cats? Yes /No
If yes, please explain your dog's behavior with cats:
Does your dog have behavior issues? Yes / No
If yes, please explain:
Does your dog have any fears? Yes /No
If yes, please list all:
How does your dog react: When being seen by a veterinarian?
When being groomed?
To having his/her nails trimmed?
Has your dog ever bitten anyone? Yes / No
If yes, did it break skin? Yes No
Was a bite report filed? Yes/ No
Please explain the bite incident:
Please list a few things you like best about your dog:
Does your dog have any food aggression? Yes / No
If Yes explain.
If possible, please provide photo/photos of your dog

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By signing this form, I/we state that I/we own the animal that is the subject of this Animal Surrender Form. To my knowledge, no other person has a right to this animal. I/we hereby surrender all rights to this animal. I/we understand that once the animal is relinquished, the animal will not be available to be returned. I/we have read and understand the terms of this Animal Surrender Form and certify that I/we have answered all of the above questions truthfully.
Owner Signature*

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Goldens 901 Owner Surrender Form

More Details about Your Dog

How Does Your Dog React?