Dog Surrender Form for Puppy Pals Rescue


If you need to surrender a dog, please fill out the information below.  If you do not know, please approximate to the best of your knowledge.  Please be honest.  This information will allow us to place your dog in the best foster home possible.  Someone in your area will get back to you as soon as possible to answer any questions you may have about the process and make arrangements.  We understand this is a hard choice to make and try to make it as easy as possible on all parties.

Dog Surrender Form
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First Name
Last Name
Address
City
State
Zip Code
e-mail address
Home Phone No.
Alternate Phone No.
Dog's Name
Breed of Dog
Dog's Age
Dog's Gender
Dog's Weight (Lbs.)
Spayed/Neutered ? (Yes/No)
Any Medical Issues ? (Yes/No)
If Yes, Please provide brief details
Vet's Name
Vet's Address
Vet's Phone No.
Has dog had training ? (Yes/No)
Is dog housebroken (Yes/No)
Gets along with other dogs ? (Yes/No)
Gets along with cats ? (Yes/No)
Gets along with children ? (Yes/No)
Has the dog ever bitten ? (Yes/No)
Why are you surrendering your pet?
Other Information


Please Note: We would need you to call your vet so we can get approval to obtain records on your pet