Surrender Form Owner's First and Last Name * Email * Address(include street name and number, city and province) * Contact Number * Dogs name * Dogs breed * My dog is a *malefemale And is *SpayedNeuteredUnaltered why are you surrendering the dog? * how long have you had the dog? * where did you get the dog? * Is the dog microchipped? *YesNoUnsure Has the dog bitten in the last 10 days *YesNo Does this dog have/had any known medical issues? * Who is your current vet? (Name and Telephone Number) * What type of food do you feed this dog? Is there any type of food/treat this dog particularly likes? * Does this dog have any of the following behavioral issues? Please explain each issue below. (Please be honest, it will let us know what things we should work on with the dog) *Separation AnxietyChewingExcessive BarkingDiggingInappropriate urinatingBegging / Jumping upChasing (people, cars, animals, etc)Protective of house, family, etcBiting / AggressionFear of loud noisesNone of the above Please explain any of the behavioural issues identified above How does the dog respond to cats? * How does the dog respond to other dogs? * How does the dog respond to other animals? * Has the dog ever injured or killed another animal? *YesNo Is the dog housebroken? *YesNo Is the dog crate trained? *YesNo Has the dog had any formal training? *YesNo Does the dog respond to any commands? *YesNo Can this dog be trusted to be home alone for extended periods? *YesNo Would it be okay if the new adopters of this dog contacted you? *YesNo Please take some time to tell us anything else about this dog that you think we should know, or that you would like us to know. Submit