• Shelter Assistance Request

  • Our Companions Animal Rescue is a 501c3 non-profit organization. The mission of Our Companions is to offer programs and services that support and nurture a positive relationship between people and their pets in our communities. 

    Additionally, our Canine Behavior Programs support a variety of shelters and rescues through comprehensive behavioral consultations and risk assessments. Our goal is to assist organizations in making the best placement decisions possible for the dogs in their care. 

    Please complete this form to help us understand the dog you are seeking assistance for. 

    If you are unsure if you are eligible for this program or require additional assistance, please do not hesitate to contact us at 860-242-9999 or Helpline@OurCompanions.org

  • Shelter Information

  • Format: (000) 000-0000.
  • Please select the main reason(s) for this request.*
  • Would you be able to travel to the Program Center in Manchester, CT for the behavioral assessment?*

  • PLEASE NOTE: Behavioral consultations and assessments are scheduled based on staff availability. Travel to organizations over 30 miles away is offered on a limited basis and may require additional notice to accommodate. 

  • Dog Information & General History

  • Sex*
  • Is this dog neutered or spayed?*
  • How did this dog initially come into your care?*
  • Does this dog have any past or present medical conditions or injuries?*
  • Is this dog currently on any medication*
  • How does this dog USUALLY behave when meeting NEW people? Check all that apply.*
  • How does this dog USUALLY behave around other dogs? Check all that apply.*
  • How does your dog USUALLY behave around cats? Check all that apply.*
  • How does this dog USUALLY behave when a person or dog walks by their kennel? Check all that apply.*
  • How does this dog USUALLY behave when walking by other kennels? Check all that apply.*

  • Fear & Aggression

  • Is this dog currently on a bite quarantine?*
  • Has this dog ever inflicted a bite to a person that required medical care?*
  • Has this dog ever attacked another dog resulting in severe injury or death?*
  • Has this dog ever attacked a cat or domesticated animal resulting in severe injury or death?*
  • Has this dog ever chased and killed a small animal such as a squirrel, rabbit, or bird?*
  • Has this dog ever shown any of the following behaviors towards MEN? Check all that apply.*
  • Has this dog ever shown any of the following behaviors towards WOMEN? Check all that apply.*
  • Has this dog ever shown any of the following behaviors towards CHILDREN? Check all that apply.*
  • Has this dog ever shown any of the following behaviors towards another DOG? Check all that apply.*
  • Has this dog ever shown any of the following behaviors towards a CAT or SMALL ANIMAL? Check all that apply.*
  • If any aggressive behavior was checked above, was it.... (check all that apply)*
  • If a snap or bite occurred to a person, did this occur while breaking up a dog fight or while the dog was in severe pain?*
  • If a snap or bite occurred to a child, did this occur while breaking up a dog fight or while the dog was in severe pain?*

  • Rabies Vaccination Agreement

  • Every dog participating in training programs at Our Companions Animal Rescue (OCAR) must be up-to-date on their Rabies Vaccination in accordance with Connecticut State Law. All shelters are required to submit proof of vaccination before the first session. 

  • Is your dog currently Up-to-Date on their Rabies Vaccination?*

  • Photo Release

  • Photos and videos are often taken of participants and their dogs during training programs at Our Companions Animal Rescue and are often used in our social media posts, newsletters, promotional materials, websites, etc. It is important to us that we respect the safety, security, and personal rights of all of our community members.
  • Date*
     - -

  • Agreement to Hold Harmless

  • In consideration for participation in the training offered by Our Companions Animal Rescue (OCAR), I hereby assume all responsibility for any claim, loss or damage, of whatever kind or nature, whether to person or property, arising out of or related to this training. I further agree that I will hold OCAR, its officers, directors, trainers, volunteers, agents and members harmless and defend them from any and all liability for any injury, claim, damage or loss, of whatever kind or nature, whether to person or property, arising out of or related to this training. I agree to indemnify OCAR, its officers, directors, trainers, volunteers, agents or members who might be the subject of any claim, suit, loss or damage caused in any way by any act or negligence on my part or on the part of my dog during the Training Program.

    I acknowledge that while OCAR may facilitate and sanction this training, OCAR does not have and does not exercise control of the conduct of my dog(s). I further recognize that OCAR is providing this training as a community service and utilizes volunteer trainers with varying levels of training experience. I also understand that the degree to which a dog is successfully trained is a function of the interest, commitment, and cooperation of the owner. I acknowledge and agree that there is no guarantee that my dog will achieve the desired level of training, despite the best efforts of the instructor. I also acknowledge that all information I have provided is factual, complete, and honest.

  • Date*
     - -

  • Additional Notes, Photos, & Records

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