First and Last Name:
Address, City, State, Zip:
Best Phone Number to Reach You At:
Breed and Age:
Male or Female:
Where did you acquire your dog?
How long have you had your dog?
Why do you need to surrender the dog(s) into Angels of Fur?
Is the dog updated on his rabies shot?
When was the dogs last rabies vaccine? Provide month and year.
Is the dog updated on distemper boosters and all other vaccines?
Has the dog had a heartworm test in the past year? If yes what were the results?
Does the dog have any medical problems?
Provide the following for your veterinarian (provide name, address, phone number, years known)?
PLEASE CONTACT YOUR VET AND ALLOW THEM TO RELEASE INFORMATION TO AN ANGELS OF FUR REPRESENTATIVE.
Please check all that apply to your dog:
Has your dog ever bitten someone?
Please describe your dogs personality?
What is your dog afraid of?
Where is your dog sensitive on being handled (i.e. ears, back, feet)?
Has the dog ever been to a training or obedience class while in your care?
Does your dog know any of the following?
What kind of training have you tried? Check all that apply.
If training is the primary issue, would you be willing to keep your dog if we provide you with training support and tips?
What are your dogs best qualities?
What are your dogs worst qualities?
Please list all other organizations you have contacted in regards to surrendering your dog:
Have any other organizations denied your dog?
I understand that by submitting this form, Angels of Fur will not immediately take in my dog. I understand that Angels of Fur will conduct a behavioral evaluation as a secondary part to this surrender form. I understand that Angels of Fur will not make a decision until the form has been reviewed, the evaluation has been done, and a foster home is available. Should a foster home not be available at the time, I understand my dog may be put on a waiting list.