Doodle Dandy Rehoming

Doodle Dandy Rehoming
Thank you for choosing Doodle Dandy Rescue to rehome your dog. We appreciate your trust in us to find a great home for the pup. Should Doodle Dandy choose to take your dog, your submission of this form indicates that you give Doodle Dandy Rescue responsibility for rehoming your dog and will move forward with transferring the dog to a representative of Doodle Dandy Rescue.
Dog's name *
Today's Date*

MonthDayYear
Date
**MUST HAVE** Please add a current photo of the dog you are surrendering. If you are unable to upload, please email to ddrintake@gmail.com. Please put the dog's name in the Subject field. *An application without a picture included or emailed will not be considered.*

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Owner's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Region Closest to:*
Phone Number*

Area CodePhone Number
Email
example@example.com
Why are you surrendering your dog?*
Dog's Gender*
M or F
Date of Birth (approx)*
Dog's age (in months)*
In # of Months
Weight*
Dog's breed (We are breed specific to poodle mixes)
Does your dog shed?*

nominimallyyes
Is dog spayed/neutered?*
Y or N
If female, has she had litters?
Is the dog microchipped? If yes, please list microchip number.*
Has dog lived with you since it was a puppy? If not how did you acquire the dog?*
Has this dog lived with another animal at home? Please add details (dog/cat), age, gender, size and breed.*
What position does this dog hold in your home (Dominant or Submissive)*
What are this dog's energy needs? (Backyard play, Dog Parks, Long Walks)?*
How many children in your home and their ages. Is this dog good with children? Do they knock down toddlers when playing?*
Is dog up to date on vaccinations? When was last vet visit?*
Does this dog show any anxiety at the vet or groomer? Do you give any calming medication or sedate the dog for vetting/grooming?*
Please attach latest vet records. If you are unable to upload, please email records, or call your vet and ask that they send all vet records (not invoices) to ddrintake@gmail.com

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Name and number of current vet (vet records will have to be on file prior to surrender.)*
Describe the dog's overall medical/physical health.
Does the dog have any allergies (Please list if food or otherwise)?*
Is your dog currently on medication? (Other than HW and Flea/Tick Prevention) For what?
Has your dog been on heartworm prevention without interruption since his last heartworm test?*
What date was the dog last given heartworm preventative?

MonthDayYear
Date
What brand of heartworm preventative?
What brand of flea & tick (if separate from an 'all-in-one' preventative)?
What % (50,80, or 100) is your dog potty trained? 50% (Needs help), 80% (A few accidents) 100% (Not worried about accidents)?*
Is your dog crate trained? Still using a crate when you leave the house? And at night to sleep?*
Is your dog a flight risk or an escape artist? Have they gotten out before? Please explain.
Has your dog had a negative reaction to men, women, or children? Please explain.*
Describe your dog's temperament with other dogs, children and adults in the home. Do they jump on people?*
Resilience: Of the following, select which one closest matches your dog's ability to handle new or stressful situations (like meeting unfamiliar people or dogs, or being in new environments) this could be going to a friend's house, going on walks in an unfamiliar place, traveling in the car, etc

1. Very adaptable, confident, and comfortable in new situations or with new people/dogs.2. Occasionally stressed, but can adjust with time or guidance.3.Struggles significantly, becomes anxious, fearful, or avoids interaction.
Has the dog been around other dogs outside of the home? At a dog park or during walks, how do they react? Are they leash trained? Harness or Leash?*
Has the dog shown signs of resource guarding or do they share? (Guarding food, toys or people?)*
Has the dog shown signs of aggression? Lunging, showing teeth, snapping or breaking skin on people or animals? Have they ever bitten another dog or person?*
Is there any other information that would be helpful in placing the dog in the best possible home?
What is your deadline for rehoming your dog? Can you help transport?

What items will you be sending with the dog?*

	Sending w/dog	Not sending
Food
Crate
Leash
Heartworm preventative
Flea & tick preventative
Collar
Harness
Training collar
Bedding (please wash before sending)
Medication
Bowls

Please tell us the brand and flavor of food. Please send at least a week's worth for an easy transition. List anything else you will be sending not listed above.
By signing this form, I state I am the owner of the animal who is subject of this Animal Surrender Form. Once I relinquish this dog to Doodle Dandy Rescue, I hereby surrender all rights to the animal and it will not be available to be returned. I have read and understand the terms of this animal surrender form.
I certify that everything submitted in regards to the dog I am surrendering is true and accurate and that information about bite history has been listed and explained.*
Please initial
Signature of person surrendering*
Should be Empty: