Surrender Request Form

We are sorry to hear that you need to surrender or rehome your pet. We will try to help if we can.

Name

First Name

Last Name

Phone Number

Address, City, State, Zip

Dog that you want to surrender

What is your dog’s sex?

Male

Female

Weight

Describe in detail why you want to surrender your dog.

Describe any bad habits or behaviors

Tell us where you obtained this dog?

Is this an urgent situation, please explain

Send vet records and pictures of your dog to [email protected] Explain current vaccination status.

If you are human, leave this field blank.