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Dog Surrender Form
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Dog Surrender Form
Dog Surrender Form
A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.
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
Email
Phone
Address/Location
Enter the following information if you know it.
Multiple Dogs?
Choose...
Litter of puppies
Multiple sibling dogs
Multiple unrelated dogs
Color
Age
Sex
Choose...
Male
Female
Unknown
Spayed or Neutered
Choose...
No
Yes
Unknown
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?
Choose...
No
Yes
Unknown
Can you provide vet records?
Choose...
No
Yes
Good with kids?
Choose...
No
Yes
Unknown
Cat friendly?
Choose...
No
Yes
Unknown
Dog friendly?
Choose...
No
Yes
Unknown
Housebroken?
Choose...
No
Yes
Unknown
What is the time frame for finding a new home?
Knows Commands:
Sit
Stay
Come
Others
Unknown
What other commands?
Walks well on a leash / leash trained?
Choose...
No
Yes
Unknown
Chews?
Digs?
Climbs?
Jumps?
Other important information, good or bad, about temperament.
Photos of Dog(s)
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