• Dog Owner Surrender Form

  • Surrendering your pet to Toe Beans Animal Rescue is a permanent decision. If you proceed, you will be required to sign a legally binding surrender contract transferring full ownership to Toe Beans Animal Rescue. This allows us to provide veterinary care and, when ready, place your pet in a carefully screened forever home.

    Submitting this form does not guarantee immediate intake, as space is limited and a waiting list may apply.

    All surrenders and adoptions are confidential to protect the privacy of both surrendering and adopting parties.

    To help us find the best possible care and placement for your dog, please answer the following questions honestly and thoroughly.

  • Format: (000) 000-0000.

  • DOG & HOUSEHOLD INFORMATION

  • Are you the legal owner of the dog?*
  • Why are you giving up the dog?*
  • How many homes has your dog had?*
  • Sex*
  • Is your dog spayed/neutered?*
  • Is your dog microchipped or Tattooed?*
  • Is the dog*
  • Energy Level?*
  • What other animals did your dog live with?*

  • BEHAVIOR

    Your dogs usual behavior
  • How does your dog usually behave towards people they know?*
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  • How does your dog usually behave towards people they DO NOT know?*
    Rows
  • How does your dog usually behave towards animals they know?*
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  • How does your dog usually behave towards animals they DO NOT know?*
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  • How does your dog usually react when an unfamiliar person approaches or enters the yard or house?*
  • Is your dog housetrained?*
  • Where does your dog spend the majority of their time?*
  • How many hours a day is your dog left alone without a human?*
  • When left alone, is he/she...*
  • When left alone, does your dog usually show any of the following behaviors?*
  • When your dog plays, do they typically...*
  • What toys does your dog like?*
  • What games does your dog like?*
  • Is your dog scared of anything*
  • Is your dog allowed on furniture?*
  • Where does your dog usually sleep at overnight?*
  • What commands does your dog know?*
  • Does your dog steal food from the table/counters?*
  • Does your dog have problems riding in car?*
  • Has your dog escaped your property 2 or more times in the last 6 months?*

  • AGGRESSIVE BEHAVIOR

    (any behavior that has ever happened)
  • Has your dog ever attacked or bit a person?*
  • Has your dog ever attacked or bit another dog?*
  • Has your dog ever attacked or bit a cat?*
  • Has your dog ever attacked or bit farm animals? (chickens, horses, cows, goat, pig, sheep, etc...)*

  • MEDICAL

  • Does your dog see a veterinarian at least once a year?*
  • What vaccinations has your dog received?*
  • Are vaccinations Up to Date?*
  • Check if your dog has ever shown any of the following behaviors when handled by a vet or groomer.*
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  • Does your dog have to be muzzled at the veterinarians?*
  • Does your dog have any past or present health problems?*
  • Is your dog currently taking any medication?*

  • FEEDING

  • What type of food does your dog eat?*
  • How Often Is Your Dog Fed?*
  • How much is fed per feeding?*
  • Does your dog get treats?*

  • OTHER

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