Owner Surrender no password

Having to surrender a dog is always a tough decision.  Please complete the form and a TRU Rescue representative will be in touch.

Owner Surrender Form

Owner Surrender Form
I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the dog(s) who is/are the subject of this Surrender Form, hereinafter referred to as the “dog”. I hereby surrender any and all property rights to the dog. I certify that no other person has a right of property to the dog. I also hereby certify that the dog has not bitten or scratched a human or another animal within the past 10 days. I understand that once I relinquish the dog, the dog will not be returned to me. I further certify that I have read and understand the terms of this Surrender Form.

The cost to surrender a dog is $50. The goal of TRU Rescue is to find a home for every adoptable dog. We are unable to accept dogs with aggressive behavior or untreatable medical conditions.

If you are experiencing a financial hardship and are unable to afford our surrender fee, please speak directly with a member of our intake team.

Part 1. Personal Contact Information

Address
Address
City
State
Zip/Postal

Part 2. Basic Information about Dog

Sex
Is the dog microchipped?
Does the dog have any medical problems?
Is dog up to date on vaccinations?
During the day, where did you keep the dog?
At night, where did you keep the dog?
Where did you keep the dog when he/she was alone?
Does the dog have “accidents” in the house?
Has the dog lived with children?
How does the dog behave with children (Check all that apply)?
Does the dog have any fears or anxieties with (Check all that apply):
Did the dog live with another dog?
How does the dog behave with other dogs (Check all that apply)?
Did the dog live with a cat?
How does the dog behave with cats (Check all that apply)?

Part 3: Dog Activities and Behavior

What form of daily exercise does your dog receive (Check all that apply)?
How does the dog react when you or another animal take toys/bones from him/her (Check all that apply)?
Do you feed the dog:
How does the dog react when someone tries to take food from him/her (Check all that apply)?
How does the dog react to strangers (Check all that apply)?
How does the dog react when someone enters your home or yard (Check all that apply)?
Does the dog (Check all that apply):
Does your dog have any fears or anxieties of (Check all that apply):
How would you describe your dog’s personality (Check all that apply)?

Part 4. Signature

By signing below, I hereby certify that all information provided in the Surrender Form is true and
complete.

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