Surrender Application
This is an application ONLY and does not obligate surrender or guarantee acceptance.

The information you provide on this form will help us match your dog with an appropriate foster home and subsequently, their new forever home. Please be honest with your answers.
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  • Pet Information

  • If you are applying to surrender more than one dog, please fill out an application for each. Thank you.
  • If vaccinations are up to date, you will be asked to submit proof at the time of surrender.
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  • If yes, please explain.
  • If yes, please explain.
  • If yes, please explain.
  • Household Information

  • If yes, please tell us how long your pet is crated throughout the day and/or night.
  • If yes, please explain in detail. Failing to provide us with adequate and honest information will set your pet and the rescue attempt up for failure.
  • If yes, please explain:
  • If yes, please explain:
  • If yes, please explain:
  • I certify that the foregoing representations are true and accurate to my own knowledge, and to those matters of which I do not have direct knowledge, I believe them to be true.
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