EmailMe Form - SURRENDER INQUIRY FORM- AUG 2026

Lab Rescue Surrender Form

DATE: *

MM / DD / YYYY

Name of Dog *

Use formal Name of dog here

Name of Person Surrendering: *

First Last

Address of Person Surrendering *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone of Person Surrendering: *

### - ### - ####

Email of Person Surrendering *

Confirm Email

Did you adopt this dog from us? *

If yes, what was the dog's Lab Rescue name?

Breed of Dog *

If mixed or other breed describe here:

Color of Dog *

Gender of Dog: *

Weight of Dog: *

Age of dog: *

Age of dog at Purchase/Acquistion: *

Why are you unable to keep the dog? *

Current Family's Ages (include children's ages as well) *

Describe the Dog's General Temperament: *

What is your time frame for surrendering the dog? *

When do you need the dog to come into the program?

Additional Comments

PIC 1 OF DOG: *

YOU MUST UPLOAD AT LEAST ONE PIC OF DOG.

PIC 2 OF DOG:

PIC 3 OF DOG: