Surrender

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Number*
Email Address*
Pet name of dog*
Breed*
Date of birth*
Coat Colour*
Sex*
Tattoo/Microchip details*
Is the dog neutered*
What is the date of their last vaccination?*
When were they last treated against fleas?*
When we re they last treated against intestinal worms?*
When were they last treated against heartworm?*
Does your dog have any health problems?*
Vet name & number*
Has your dog been around children?*
If yes what is the youngest age?*
Describe what your dog is like around children.*
Describe what your dog is like with other dogs.*
Describe what your dog is like with cats.*
What is your dog like on a lead?*
What is your dog like off leash on either walks or in off leash exercise areas?*
What is your dog like during storms?*
Under what circumstances does your dog bark?*
How much obedience training does your dog have?*
Has the dog ever shown aggression towards other dogs?*
or Adults?*
or Children?*
Has your dog ever bitten another dog?*
or Adult?*
Or children?*
Do they dig?*
Do they jump, climb or dig under fences to escape?*
If yes, please explain*
Reason for giving up your dog*
Please write a description of your dog for the website*
Please attach Image of dog.
Accepted file types: jpg, png, pdf, Max. file size: 16 MB.
I have answered the questions above truthfully and completely*
- Yes
- No