Owner Surrender

Petzone Dog Rescue's Mission is to save last chance dogs from local animal control facilities but will take owner surrenders from time to time dependent on the circumstance's of the dog, SPACE at the shelter, and temperament of said dog. Please fill out the form below if you are in a situation that you cannot keep your dog or if you are trying to help a stray or injured dog.


Owner Surrender Information

Please fill out all fields.

First Name:
Last Name:
Address Street 1:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email: *
Is this dog a stray or owner surrender?: *
Name of Dog: *
Age of Dog: *
Size of Dog:
Breed of Dog: *
Are you able to foster this dog?:
Are you financially able to make an inital donation?: *
If you are able to make an initial donation, how much?: *
Has your dog bitten or scratched any human or other dog in the last 10 days?: *
Does your dog have any agression issues?: *
Does your dog have any behavior issues?: *
Please explain any behavior or agression issues in detail:
If any agression or behavior issues, have you seeked out the help of a certified pet trainer?:
Does your dog get along with cats?: *
What is the monthly donation you are able to afford for the dogs care?: *
Does your dog get along with other dogs?: *
Does your dog get along with kids?: *
Is dog currently on heartworm preventative?: *
What brand of heartworm pills does your dog take?: *
Is dog current on vaccines?: *
Is dog spayed/neutered?: *
Veternarian's Name: *
What is the reason you need to surrender the dog?: *
Comments:

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