Surrender Request
*** Due to the volume of surrender requests we receive, it may take up to 6 weeks for a response.*** If you are requesting to surrender your dog, please complete the form below. Email inquiries will NOT be answered unless the surrender request form has been completed in FULL. Please note that surrender requests are reviewed on a case by case basis and space is very limited.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Please explain why you need to surrender your dog:
*
We require a surrender fee of $250-$500 depending on the medical/behavioral needs of your dog. If you are unable to afford this fee, please explain below:
*
Tell us about your pet:
Dog's Name:
*
Dog's Breed
*
Dog's Age
*
Dog's approx. weight?
*
Is your dog spayed/neutered?
*
Yes
No
Unsure
Are your dog's vaccines up to date?
*
Yes
No
Unsure
Approximately how long have you owned your dog/have they been under your care?
*
Does your dog have any health issues that you're aware of? If so, please explain in detail:
*
Where did your dog come from? (Examples: breeder, friend, family, animal rescue/shelter etc). Where possible, please provide the name of the breeder/shelter/rescue.
*
Is your dog currently pregnant or in heat? If yes, how far along are they?
Has your dog displayed aggressive behavior either with you or previous owner(s)(growling, barking, showing teeth) towards a person, child or another animal?
*
Has your dog been reported to animal control either with you or previous owner(s) or hold a dangerous dog designation?
*
Has your dog bitten or injured a PERSON either with you or previous owner(s)? If so, please explain:
*
If you answered yes to the above question, please explain in detail what the extent of the injuries were: For example, did the bite break skin, require stitches and/or a hospital visit etc.
Has your dog bitten or injured another ANIMAL either with you or previous owner(s)? If so, please explain and include the extent of the injuries:
*
Is there any additional information that you would like us to know so that we may better support you? Are there any resources we could provide you that would make you reconsider surrendering your dog? For example: training resources, veterinary care etc.?
Please include ONE photo of your pet(s)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: