Dog Surrender Form

  • Dog Surrender Form

    Behavior Checklist
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  • Check the corresponding boxes to inform Charlotte Sheltered Souls Animal Rescue as to whether or not your pet has any behavioral concerns worth noting or working on with a professional trainer while in foster. Any items marked Yes will be worked on with a trainer. Any items marked Maybe will be evaluated.

  • Is your dog an escape artist?*
  • Does your dog struggle to be confined (in a crate)?*
  • Is your dog reactive to seeing people when on leash?*
  • Is your dog reactive to seeing dogs when on leash?*
  • Is your dog destructive in the home?*
  • Does your dog get anxious in the car/carsick?*
  • Is your dog potty trained?*
  • Is your dog protective of their food?*
  • Is your dog protective of their toys?*
  • Is your dog protective of their bed/space?*
  • Is your dog protective of their siblings (if any)?*
  • Is your dog protective of their handler?*
  • Is your dog okay with children 0-2?*
  • Is your dog okay with children 3-5?*
  • Is your dog okay with children 5-8?*
  • Is your dog okay with children 8-12?*
  • Is your dog okay with children 12+?*
  • Has your dog ever lived with other dogs?*
  • Has your dog ever coexisted with dogs smaller than them?*
  • Has your dog coexisted with dogs larger than them?*
  • Has your dog ever inured a dog?*
  • Has your dog ever lived with cats?*
  • Has your dog ever injured a cat?*
  • Has your dog been fearful of children?*
  • Has your dog been fearful of men?*
  • Has your dog fearful of women?*
  • Has your dog enjoy playing with toys?*
  • Has your dog enjoyed treats?*
  • Has your dog ever injured a person?*

  • We are a small grassroots 501c3 Animal Rescue in Charlotte, NC.

    Our mission is to help pets deemed 'undesirable' and 'unworthy' by the public and get them adopted into loving homes.

    1. We have a pet food bank to support those facing financial hardships. If you need food for your pets, please fill out our pet food bank form. We always prefer to keep pets with their owners over having them surrendered to us.
    2. At times, we may help out with medical expenses for pets but that is all dependent on the donations we receive and is never guarateed.
    3. If you are in need of end-of-life services for your beloved pet, we will help you find resources available to you.

    *We evaluate surrenders on a case-by-case basis.*

    *At this time, we are unable to take any pets with serious medical issues (i.e heartworm disease, positive for parvo, distemper, ringworm, etc)*

     

    We prioritize areas and regions where animal shelters are overrun with animals and need rescues to step up in order to eleveate resources. This means that we will only be taking owner surrenders from North Carolina, South Carolina, and on rare occasions, Georgia.

    1. If you are outside of these states, we will try to find rescues to connect you with in your area that may be able to help you.

     

    If you have any questions, please reach out to us at cltshelteredsoulsanimalrescue@gmail.com for more information.

     

  • Relinquishing Receipt for Animal Surrendered to Charlotte Sheltered Souls Animal Rescue by Owner*
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