Dog Surrender Form

Notice: When Home At Last Animal Haven (HALAH) is able to help in these situations, we do accept owner surrenders or strays. We are limited by space, time, and budget. HALAH does stay pretty full, so we may not be able to help. Below are questions that help us determine if we may have an appropriate place to help you and your pup.

Your Name

Phone

Address/Location

Enter the following information if you know it.

Multiple Dogs?

Color

Age

Sex

Spayed or Neutered

Approximate Size & Weight

What is the dog's name?

What is the dog's breed, or the puppy parent dogs breed?

How long have you had the dog?

Where / How did you get the dog(s)?

Why do you need to get rid of the dog(s)?

Does the dog have rabies shots and/or vaccines?

Can you provide vet records?

Good with kids?

Cat friendly?

Dog friendly?

Housebroken?

What is the time frame for finding a new home?

What other commands?

Walks well on a leash / leash trained?

Chews?

Digs?

Climbs?

Jumps?

Other important information, good or bad, about temperament.

Photos of Dog(s)

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