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Surrender Request Form

We at Furbabies Furever Homes understand that surrendering your dog can be an emotional decision to make.

Please understand that our mission is to rescue those dogs who have fallen through the cracks. We encourage you to think about each question and answer to the best of your ability so we can find the best foster home for your pet. Once your request has been sent we will be in touch.

Surrender Request

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Dog's Information

Dog's Name*

Breed

Age

Birthdate (if known)

Where did you get the dog from?

How long have you owned the dog?

Current Veterinary Clinic

Date of last vet appointment

Spayed/Neutered?

Yes

Vaccinations up to date?

Yes

Any health issues?

Yes

If yes, please explain:

The following questions are to help us get to know the dog's personality & behaviors:

Fully housetrained?

Yes

Kennel trained?

Yes

Leash trained?

Yes

Travels well?

Yes

What is the dog eating?

Where does the dog sleep at night?

Can the dog be loose in the house unsupervised?

How does this dog react to the following? (ie. playful, fearful, no reaction, etc.)

Dogs*

Cats*

Adults*

Young Children*

Livestock*

Please provide more details.

Please describe in detail why you are surrendering your dog:

What are some of the dog's likes and dislikes? (ie. likes sleeping in a kennel, doesn't play with toys, etc)

Any other info you think we should know to ensure the dog has a smooth transition?

Please upload a recent photo of the dog below:

File

Max. file size: 512 MB.

Terms & Conditions

“By signing this form, I state that I am the owner of the animal who is the subject of this Dog Surrender Form. To my knowledge no other person has any right to this animal. I hereby surrender all rights to this animal to Furbabies Furever Homes. I understand that once I relinquish this animal it will never be able to be returned to me. I have read and have understood the terms of this Dog Surrender Form.”*

I agree to these terms & conditions

Please type your full name to acknowledge you have completed this application to the best of your ability*

Date*

MM slash DD slash YYYY

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Surrender Request Form