Rebel Dog Rescue Surrender Request

Rebel Dog Surrender Request

Please complete as detailed as possible. Many questions are 'select all that apply'; please select as many options as required.
Your Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you the legal guardian of the dog?
Where are you located?
Name of Animal
Age/D.O.B
Gender
Breed
Weight (lb)
When did the dog enter your care?
(i.e. shelter, stray, owner surrender)
Where did you get the dog from?
Have you contacted the person/breeder/rescue you obtained the dog from? What did they say?
Why are you rehoming your dog?
What is the dog's current living situation? (# people in home, # animals in home, hours left alone, type if residence, etc.)
How soon are you hoping to rehome the dog?
Behaviour

Please complete.
Good with men:
Good with women:
Good with kids 0-6:
Good with kids 7-15:
Has this dog ever bitten or attempted to bite? Explain.
When the dog meets new people s/he...Select all that apply.

Other
Good with dogs? Explain.
How does this dog react to meeting new dogs? Select all that apply.

Other
Good with cats? Explain.
Crate training (select all that apply)

Other
House training (select all that apply)

Other
Resource Guarding (growling, teeth baring, barking, protecting, etc.)(select all that apply)

Other
Walks on a leash (select all that apply)

Other
Energy level (select all that apply)

Other
Areas to work on (select all that apply)

Other
Is this dog suitable in an apartment?
Any noted separation anxiety?
Barker (select all that apply)

Other
Have you worked with a trainer? Explain.
Vetting

Please complete.
Does this dog have any known medical needs, ailments, injuries, surgeries or accidents?
I.e. Hit by car, received FHO, cherry eye, cleft lip, blind, attacked by dogs, needs dental, etc.
Is the dog on any regular medications?
When was the last time this dog saw a vet?
When was the last time the dog received a heartworm test?
Is the dog up to date on Rabies, DHPP and Bordetella vaccines?
Has the dog been on consistent heartworm prevention since the last test?
IMPORTANT: Please send pictures/videos at time of submission via email to admin@rebeldogrescue.com.
Should be Empty:

Rebel Dog Surrender Request

Behaviour

Vetting