Dog Surrender Form

Please complete the following information as accurate as possible. We need complete details to be able to place a dog in an appropriate foster home. Upon submitting this form, you will receive a response within 2 business days from info@almosthomecaninerescue.com regarding the surrender of your dog.

If you have any questions or concerns, please e-mail us at info@almosthomecaninerescue.com

**Please Note : We cannot guarantee that we can take the dog you are inquiring about surrendering. AHCR does NOT have a facility, as all of our dogs go directly into foster homes. Availability to take in a Owner Surrender solely depends on the amount of dogs already in rescue at that time.

Your Name : *

Phone Number : *

Email : *

Dog Information

Dogs Name : *

Breed(s) : *

Dogs age : *

Gender : *

Male

Female

Is the dog altered? *

Yes

No

Unknown

Up to date on vaccinations : *

Yes

No

Unknown

What vet has your dog previously seen : ( Name & Phone Number) *

Potty Trained? *

Yes

No

Kennel Trained : *

Yes

No

Does he/she need a fence : *

Yes

No

Good with other dogs? *

Yes

No

Unknown

Good with cats? *

Yes

No

Unkown

Does your dog have any behavioral issues? *

Has your dog been seen by a trainer? If so who/when/what for? *

Where are you located? *

Best way to contact you? *

Where is the dog originally from? *

Reason for surrender? *

Please upload a picture of your dog. We cannot accept a request if one is not attached.