Dogs/Puppies

PLEASE READ ALL OF THIS PRIOR TO SUBMITTING THIS FORM

* ENSURE YOUR FORM SAYS SUBMITTED BEFORE EXITING THE PAGE

* Send us an EMAIL at Secondchancelondon@gmail.com to ensure your form has been received as we have been having issues lately!

* Please complete a form for the dog being surrendered. - Be sure to check your junk folder for our reply.

* The intakes team will email you when they have placement ready, if you find placement before receiving an email please reach out and let us know.

* SCAAR makes it our first priority to find safe and loving homes for the adoptable pets surrendered to us.

* IF admitted. This detailed and accurate information you provide us makes it easier for us to place your pet in an appropriate foster home.

* Please be sure to leave a return EMAIL address as our intakes team will send you an initial reply via EMAIL. They may send a courtesy text as well.

* Please EMAIL a photo of your pet to Secondchancelondon@gmail.com after you have filled out the form as the attachement section is not working at the moment.

File Upload - Photo of Pet *

Full Name:

Full Address*

City*

Postal Code*

Province*

Country*

Age*

Home Phone*

Work Phone*

Email*

Reason for relinquishing ownership: Please email us a photo of your pet after filling out this form - Secondchancelondon@gmail.com*

Pet's Name*

Gender:

MaleFemale

Pet's Age*

Breed and Weight (estimate)*

How long has this pet been in your care?*

Where did you get this pet?*

Has this pet had other owners?

YesNoUnsure

Are they Spayed/Neutered*

Who is your veterinarian? Name & Phone Number*

What date was your pet last at a veterinarian?*

Are they up to date on Rabies

1

Are they up to date on Bordetella

1

Are they up to date on Distemper/Parvo

1

None of the above

1

Latest heartworm test was?

PositiveNegativeUnsure

Has your pet been to a veterinarian for anything besides routine exams?

YesNoMy pet has never been to a veterinarian

If yes please explain*

When was the last heartworm preventative given and what type?*

Where does this pet spend most of its time?

IndoorsOutdoorsBoth Indoors and Outdoors

Please list any major or minor behavior problems your pet exhibits. For example: food aggression, digging, house soiling, barking, chewing, scratching, etc.*

How does your pet respond to visitors or strangers?*

Has this animal ever bit someone or tried to?

YesNo

If yes, please explain:*

How many animals does this pet live with?*

Does this pet get along with dogs?

YesNoSometimesUnsure

Does this pet get along with cats?

YesNoSometimesUnsure

If no/sometimes, please describe the problem:*

Does this pet like children?

YesNoUnsure

If yes, what age children has the pet been exposed to?*

Is your pet house broken?

YesNoSometimesUnsure

Can your pet be left alone inside, without incident?

YesNoSometimes

Is your dog currently crate trained? Please let us know of any destructive habits they may have.:*

What food are currently feeding, do they have preferences/restrictions*

Would you be willing to make a financial contribution to S.C.A.A.R to help offset some medical costs? Please indicate yes, no, or the amount.*

Signature

To the best of my knowledge, the animal has not bitten anyone within the 10 days immediately prior to the date of surrender and all information about the animal is true. I understand and hereby certify that: (1) I am the true and rightful owner of the animal or animals that I have surrendered this day to Second Chance Auction Animals Rescue, (2) no other person has any right of property in such animal or animals, (3) am conveying full and complete right, title, and interest in and to the animal or animals to Second Chance Auction Animals Rescue.

Second Chance: Surrender Form