Surrender a Dog

We understand that sometimes circumstances change and you may no longer be able to care for your dog. Please complete this form so we can learn about your dog and determine if we can help.

Your Information

Full Name *

Email *

Phone *

Street Address

City

State

ZIP

Dog Information

Dog's Name *

Breed *

Age *

Sex *

Weight (approx.)

Spayed/Neutered?

Microchipped?

Medical History

Vaccinations current?

Veterinarian Name/Clinic

Known Medical Conditions

Current Medications

Behavior

Good with kids?

Good with dogs?

Good with cats?

House trained?

Crate trained?

Leash trained?

Any aggression, anxiety, or behavioral concerns?

Reason for Surrender

Why are you surrendering this dog? *

How soon do you need to rehome? *