HOME
ABOUT US
ADOPTION
About Adopting Pets
Cat Adoption Application
Dog Adoption Application
Surrender
FOSTERING
About Fostering Pets
Fostering Questionnaire
REPORT LOST PET
RECLAIM a PET
SPAY/NEUTER
EDUCATION
CALENDAR
NEWS
DONATE/PAY
CONTACT
HOME
ABOUT US
ADOPTION
About Adopting Pets
Cat Adoption Application
Dog Adoption Application
Surrender
FOSTERING
About Fostering Pets
Fostering Questionnaire
REPORT LOST PET
RECLAIM a PET
SPAY/NEUTER
EDUCATION
CALENDAR
NEWS
DONATE/PAY
CONTACT
Dog Surrender
* Indicates a required field
Contact
*
Email
*
Organization
Title
Address
City
State
ZIP
Phone
Information About the Dog
Dog’s Name
Where is the dog located?
Weight
Select one
Extremely thin
Underweight
Average
Overweight
Enter pounds...
Height
(At shoulder…)
Under 21"
21”-23"
24”-26"
Over 26"
Age
Birthdate
If known.
Sex
Select one
Male
Female
Breed
Spayed/Neutered
Select one
Yes
No
Has this dog had the below vet-care in the last 12 months?
Heartworm
Select one
Unknown
Negative
Positive
Treatment
Select one
On HW Preventative
Needs HW Treatment
Vaccinations
Rabies Shot
Select one...
Yes
No
Rabies Shot Strength
Select one...
1-year
3-year
Rabies Shot Date
Kennel Cough
Select one...
Yes
No
Kennel Cough Shot Date
Parvo/DAPP
Select one...
Yes
No
Parvo Shot Date
Doxycyline Start Date
Help us learn more about this dog….
Reasons
Attach photo
Characteristics
Good with kids
Good with other dogs
Good with cats
Basic obedience training
Other
Other Characteristics
Needs Work On...
Digs
Destructive chewer
Jumps on people
Jumps fences
Gets on counters
Gets on furniture
Barks
Whines
Not housebroken
Aggressive to dogs
Timid with strangers
Afraid of men
Afraid of women
Afraid of children
Sensitive to noises
Other
Other Things to Work on...
If not adopted/fostered, this dog will be put to sleep on this date…
Euthanization
Previous
Next
Submit
Alert!
Close
