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

Name of the Dog(s) that you want to surrender

What is your dog’s sex?

Male

Female

Weight

Breed of the dog

Age of the dog/birthdate if known

Describe in detail why you want to surrender your dog.

Describe any bad habits or behaviors

Is your dog spayed/neutered

Yes

Is your dog up to date on vaccinations

Yes

I have proof of Rabies vaccination

I have current vet records

I don’t have any current vet records

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.

Are there any other details about the dog that we need to know?

If you are human, leave this field blank.