Surrendering a Dog Form 2025

Surrendering to New Zealand Chihuahua Rescue

Please add as much detail as possible to this form as it will help us to select the most suited foster parent in terms of experience, skill level and ability to foster. We ask as much information as we can to make sure they are comfortable and happy when entering our care. The more detail you can provide - the better we can accomodate them.
Full Name of the Owner: *
Please provide your first, middle and last name
Are you the...
Phone Number*

Area CodePhone Number
Email*
Please note: our primary contact method is via email rather than phone.
Address*

Street Address

CitySuburb

Postal Code
Are there any other "owners" of the dog?*

Yes.No.Other
If there are other owners, please confirm their details and the scenario so we are confident there will be no issues or dispute over legal ownership if we assist with the dog:
(ie. their name, contact details and/or other relevant details - for example, whether they are aware and/or consent to the surrender, or are incapacitated and unable to understand (in the case of Enduring Powers of Attorney surrendering pets on behalf of the owner, for example)
How long have you had the dog in YOUR care? *
How did you acquire them (if relevant): it's helpful for us to know if a dog belonged to a prior owner and only entered your care recently after a death in the family (for example).

Final Miscellaneous Questions:

Almost done! Thank you for all of the details provided - we ask for the comprehensive information from you in order to ensure the dog will be as comfortable and well looked after as possible. We appreciate your co-operation!
What is your reason for needing to surrender your pet? (no judgement)*
Please confirm the reason you need to surrender your dog - For example: whether it is due to any renting or housing issues, owner is ill or entering residential care, the death of the owner, unable to afford medical treatment for the dog, behavioral issues or incompatibility with current pets etc.)
Have you inquired with family, friends or breeder as to whether they can assist you with the dog? (if able to do so)*
Note: this information is kept confidential.
As we are based in Christchurch, please confirm what arrangements you are able to make for transporting your dog (e.g. drop-off, flight or pet bus).*
We are based in Christchurch and can organize collection locally. If you are in the North Island please confirm whether you have considered arrangements to ensure the dog is able to travel to Christchurch. See information on our website under "re-homing" in this regard for assistance.
Please upload RECENT photos of the dog (note the limits below) *

Upload Recent Photos or Video Here!
Only RECENT photos or videos of the dog please, we don't need older or puppy photos. File types accepted are: pdf, doc, docx, mp3, wma, mpg, flv, avi, jpg, jpeg, png. Limit is a MAXIMUM of 10 uploads. Cancelof
Any other relevant documents you'd like to add?

Browse Files
Limit is a MAXIMUM of 10854KB. File types accepted are: pdf, doc, docx, Cancelof

NEW ZEALAND CHIHUAHUA RESCUE TRUST (CC55119) SURRENDER REQUEST & INFORMATION CONSENT FORM:
Thank you for providing the above information. We appreciate your honesty as this will ensure we match the dog to a foster parent able to assist with any needs identified.

Acknowledgement and Transfer of Ownership:
- By signing below, you confirm that you are the full legal owner of the canine described above and that you unconditionally surrender ownership of the dog to New Zealand Chihuahua Rescue Trust.
- Full legal ownership of the dog will transfer to the Trust and/or its authorised representatives.
- All information provided to the Trust is true and accurate to the best of your knowledge.
You also grant the Trust permission to:
1. Request and obtain the dog’s full veterinary history from any current or former veterinary clinic;
2. Update or amend any information relating to the dog held by the New Zealand Companion Animal Register, local Council, Dogs New Zealand, or any other relevant registry or database;
3. Share or provide necessary information about the dog to members of the Trust, the Council, or any other relevant organisation or third party.
SIGNED BY:*

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[Your Name] of [City] as the legal owner of the dog known as [Dog Name].*
Should be Empty:

Surrendering to New Zealand Chihuahua Rescue

Social, Personality & Behavioural Traits:

Medical History:

Final Miscellaneous Questions:

NEW ZEALAND CHIHUAHUA RESCUE TRUST (CC55119) SURRENDER REQUEST & INFORMATION CONSENT FORM: