Dog Surrender Questionnaire

  * = required
Your Phone Number:*
Email :*
Dog’s Name:
Dog’s Age:
Dog’s Gender:
Is your dog spayed/neutered? |
Is your dog up to date on vaccinations? |
Does your Dog have any medical issues? |
If so, please describe and list the last vet that they’ve visited, if they have.
What breed/mix of dog are you surrendering?
Why are you surrendering your dog?
How does your dog behave around other dogs?
Does your dog have experience being with cats?
Does your dog have experience being with children?  If so, what ages and do you think your dog would do well in a home with or without children?
Has your dog ever bitten, snapped at, growled or otherwise shown aggression towards people? |
If so, briefly explain. We need to know any triggers to ensure they’re not put in that situation in a new home.
If possible, please send a picture of your dog to: