Surrender Form

Surrender/Intake Request
If you need to surrender/rehome your dog, please fill out this form. We may ask for a donation of $125.00 per dog, if your pup has not been to a vet. That helps us with the care of their vet visit.
Your Name*
Your Email*
Your Phone*
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Animal's Name*
Breed*
Color(s)*
Age*
Socialization*

Sweet and socialA little shy but warms up when you're niceVery shyDefinitely abusedFear biter
What is your reason for surrender?
is your dog up to date on vaccinations, heartworm testing, has it been altered (spayed or neutered)? If so, please describe.
Please take 3 good quality, photographs of your pup and send them.
Photos

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Please verify that you are human*
Should be Empty:

Surrender/Intake Request