Dog Surrenders - Good Bones Dog Rescue

By submitting this form, I declare that I am the owner of the dog described above and have sole authorization to surrender this dog. I declare that the above information is correct and to the best of my knowledge, and that I have not concealed or withheld any information regarding this dog and its history. I understand that falsification or omission of information regarding the above described dog MAY result in my being held liable for future actions regarding the dog; for future medical expenses, or for legal expenses involved in any dispute. I am choosing to surrender this dog to Tori Bowie of Good Bones Dog Rescue and hereby surrender the dog to Tori Bowie of Good Bones Dog Rescue. I understand that this information MAY be released to a potential foster home or adoptive home. Please type "Yes I Agree". *

Are you willing to give permission for your vet to release the dog's records to Good Bones Dog Rescue? *

Has the dog ever attacked another person or animal? Please explain. *

Is the dog crate trained? Please explain (for example: how does the dog behave in a crate, how much time does the dog spend in a crate daily, does the dog go in the crate on their own, is the crate used for punishment, etc.) *

Does the dog have any fears? (For example, thunder, water, car rides, the vet, people in hats, loud noises, men, women, children, etc.) *

Dog's Gender *

Has the dog taken obedience training? If so, from where? *

Dog's Age *

Dog's Name *

Is the dog microchipped? *

Has the dog been around dogs? Please explain (is the dog playful, respectful, predatory, reactive, afraid, etc.) *

Email Address *

Has the dog ever bitten or attempted to bite another animal? Please describe the scenario and age of person(s) involved. *

Spayed or Neutered? *

Spayed

Neutered

Not

Has the dog been around cats? Please explain (is the dog playful, predatory, afraid, etc.) *

Please give a general description of the dog (for example: the dog's nature, personality, typical behaviors, unique personality traits, etc.) *

Dog's Breed *

Has the dog ever bitten or attempted to bite a person? Please describe the scenario and age of person(s) involved. *

Does the dog have any medical problems or allergies? Please explain. *

How many hours a day did the dog spend alone? *

What are the dog's favorite types of food, treats, and/or toys? *

How long have you had the dog? *

What type of food is the dog fed? *

Phone *

Address *

How is the dog with strangers? Please explain. *

Have you consulted a dog trainer or behaviorist? If so, who? *

Owner's Name *

Name of Veterinarian / Clinic *

How is the dog with children? Please include ages of children. *

Is the dog housetrained? *

How would you prefer to be contacted

Phone

Email

Is the dog up to date on vaccinations? *

Has the dog been around other animals? Please explain. *

When was the dog last in to see a vet and what for? *

What is the reason for surrender? *

Dog Surrender Form

Surrendering Your Dog