Dog Surrender

  • Dog Surrender

  • Submission of this form does not guarantee that a space will be available to intake your pet. The shelter will contact you if and when space becomes available. Thank you for your patience and understanding.

  • What shelter are you looking to surrender your dog to?*

  • Owner Information

  • Format: (000) 000-0000.

  • Dog Information

  • Spayed / Neutered*
  • House trained*
  • Crate trained*

  • Questionnaire

    Must be complete in full
  • Has your dog ever lived with other animals?*
  • Has your dog ever had professional training (group or private classes)?*
  • Does your dog get along with other animals?*
  • Does your dog visit the dog park?*
  • Does your dog chase wildlife?*
  • Does your dog guard food, toys, spaces or people?*

  • Bite History

  • Has your dog ever bitten a person?*
  • Was medical attention required?*
  • Were animal control or any other emergency services involved (police, fire, EMS, etc)?*
  • Has there been any other bite incidents?*
  • Was medical attention required?*
  • Were animal control or any other emergency services involved (police, fire, EMS, etc)?*
  • Has there been any other bite incidents?*
  • Was medical attention required?*
  • Were animal control or any other emergency services involved (police, fire, EMS, etc)?*
  • Have there been any other bite incidents?*
  • Has your dog ever attacked another animal?*
  • Was veterinary attention required?*
  • Were police or animal control involved?*
  • Is your dog muzzle trained?*
  • To the best of your judgement, is your dog safe to rehome?*
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  • I certify that this information is accurate to the best of my knowledge.

  • Should be Empty: