Owner Surrender Intake Request Form for Dogs

With the exception of holidays and weekends, we typically respond within 24 – 48 hours.

If you don’t hear from us, please be sure to check your spam/junk email folders just in case our email got misdirected! Also, please double check your email address before submitting the form to ensure it’s correct.

Your Name*
First Last
Your Email*
Enter Email Confirm Email
Your Phone Number*
What is the main reason for surrendering your dog? We make no judgment, but this info helps us.*
How long can you continue to home your dog? What is your timeframe for needing to rehome your dog?*
What is your dog's name?*
Is your dog male or female?*
Where did you get him/her? If from another rescue, have you contacted them about taking the animal back? Many groups will take their adoptees back.*
How long have you had the animal?*
What breed is he/she?*
Is the animal spayed/neutered?*
Is the animal current on rabies vaccination? We do not charge for owner surrenders but we do require a current rabies vaccination if we are able to take your animal.*
Is the animal current on the DAPP/DHPP (Distemper/Parvo) vaccine?*
DHPP is a canine vaccine that prevents distemper, parvovirus, parainfluenza, and two types of adenovirus (hepatitis). Dogs should receive the DHPP vaccine at 8, 12, and 16 weeks, one year later, and then 1 to 3 years after that
About how old do you think this animal is? Best guess is fine!*
If you have other dogs, has this animal been around your dog?*
If you have kids, has this animal been around your kids?*
Is the dog housetrained?*
Does the dog use a dog door?*
Has the dog been around cats? If so, how is he/she with them?*
Approximately how big is your dog (approximate weight)*
Does your animal take any medications?*
Does your animal have any behavioral issues?*
How does this animal react to strangers? Are they friendly, fearful, shy, do they run & hide, etc.?*
Is your animal destructive in the home?*
Has your animal ever bitten anyone? If so, please describe the incident and the circumstances in which the bite occurred.*
Please provide any other information that will help us find your dog a good home – personality, likes, dislikes, etc.*
Please upload photos*
Up to 3 images. Maximum image size upload is 100MB and only upload jpg, png and jpeg. You will know if the image/s have uploaded correctly when you see a red x next to the image name.
Drop files here or

Accepted file types: jpg, png, jpeg, Max. file size: 100 MB, Max. files: 3.

Monday	Closed
Tuesday	10:00 am – 2:00 pm
Wednesday	3:00 pm – 7:00 pm
Thursday	3:00 pm – 7:00 pm
Friday	10:00 am – 2:00 pm
Saturday	10:00 am – 4:00 pm
Sunday	Closed