Application Test

Owner Surrender Application

Fill out this request to surrender a dog that you legally own. You must legally own the dog to surrender/transfer ownership. If you have adopted your dog from a shelter or breeder - PLEASE reach out to them before completing this application to honor previous contract agreements. Please be patient, our organization is 100% volunteer driven. We are unable to process your application if you have not sent requested records including a picture(s) of the dog AND up-to-date vaccine records. Please answer these questions completely and honestly and to the best of your ability. Your thoroughness and honesty helps you ensure the best possible outcome for your dog! Thank you for contacting rescue about your dog <3

Step 1 of 8 - Basic Information

What is the reason you would like to surrender your dog?*
What would be an ideal placement for your dog?
Please describe the perfect adopter for your dog.
Please tell us the cute or special things about your dog that may help us find the best possible match for him/her:
Is your dog reliably housebroken?*
- All of the time
- Most of the time
- Some of the time
- No
Where does your dog spend his/her days?*
Where does your dog spend his/her nights?*
How many hours is your dog typically home alone at a time?*
Has your dog lived with other dogs?*
- Yes
- No
How many dogs and what breeds has your dog lived with previously?*
Has your dog lived with cats or other small animals?*
You will have a chance to tell us about this later on in this application.
- Yes
- No

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Have you taken your dog to a vet before?*
- Yes
- No
- Yes, but more than 5 years ago
Vet Details
Date of last vet visit
Approximate answers are acceptable.
MM slash DD slash YYYY
Veterinarian's Practice/Hospital Name*
Veterinarian's Name
Vet's phone number
Vet's address or website*
If you don't know either, please tell us the city and state the vet is located in.

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How well does your dog walk on a leash?*
Do they pull? Where is their walking position?
What commands does your dog perform reliably?*
Can you pet your dog while they're eating?*
Can you take treats out of your dog's mouth?*
Can you take away the food bowl while they're eating?*
Can you take away a chew toy or bone?*
Please describe your dog’s behavior specifically in each of the following areas and provide any additional insight to help us understand your dog's likes/dislikes.
Other Dogs:*
Cats and small animals (including small dog breeds):*
Children:
Strangers:*
Being alone in the car:*
Riding the car:*
Thunderstorms/Fireworks:*
Does your dog dislike any specific group of people?
Examples may include mailmen, uniforms, men, people in sunglasses, hoodies etc.

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Owner Surrender Application

Step 1 of 8 - Basic Information

Application Processing

Surrender Information

Owner Information

Dog Health Information

We need your dog's vet records

Vet Details

Trainer Information

Please describe your dog’s behavior specifically in each of the following areas and provide any additional insight to help us understand your dog's likes/dislikes.

Does the dog have any type of bite history (including not breaking skin) with: