Surrender Application

Retrievers that come into Fetchin' Retrievers Rescue will be vetted and placed in a loving foster home to learn more about the dog’s personality and needs before being adopted to a forever home. The information you provide helps us to find the best new home, so please tell us as much as possible about your dog. A volunteer will contact you and we will also request pictures, so be prepared to provide these.

If the dog you are asking to relinquish to Fetchin' Retrievers Rescue is a stray you have found, please contact your local animal shelter for guidance regarding the appropriate steps to take. If you are the legal owner of the dog and wish to surrender the dog to us, please fill out the form below.

First Name *

Last Name *

Email Address *

Phone number that is best to reach you *

Is text communication accepted at the above number? *

YesNo

Full Street Address (where the dog is located) *

Apartment, suite, etc

City *

State *

ZIP Code *

Are you the legal owner of the dog? *

YesNo

Are there additional owners of the dog, such as a spouse or partner? *

YesNo

Basic Dog Information: Please answer the following questions about the dog to the best of your ability.

Dog's Name *

Dog's Age (Birthdate if known) *

How long have you had the dog? *

Color *

Sex *

MaleFemale

Spayed/Neutered *

YesNoUnknown

What type of retriever is the dog? *

Purebred or a mix? *

PurebredMix

Approximate weight *

Does the dog have a microchip in place? *

YesNoUnknown

If yes, please provide the brand and chip #.

Where did you get the dog? *

If from a breeder, have you contacted the breeder about returning the dog?

YesNo

Why are you rehoming the dog? *

What does he/she like or enjoy? What does he/she dislike? *

Where does the dog currently stay and sleep? *

How active is the dog? *

What type of activity or exercise does he/she get? *

Known Behaviors and Conditions: Please be honest with us! We are here to help and your answers will help us find the right match for your dog.

Is the dog house trained? *

YesNoPartiallyUnknown

Does he/she ride well in the car? *

YesNoUnknownOther

Is he/she good with grooming? *

YesNoUnknownYes with at-home grooming, no with professional groomer

Is he/she good at the vet? *

YesNoUnknownOther

Does he/she have any separation anxiety (problems when you leave him/her alone)? *

YesNoUnknownOther

How does the dog behave on a leash? *

Does the dog have any behaviors that you wish he/she didn't have (such as jumping, digging, chewing, fear of fireworks)? *

How does the dog behave with other dogs? *

How does the dog behave with cats? *

How does the dog behave with children? What are the ages of children who live or regularly visit your home? *

What commands does the dog know? Did he/she ever go to an obedience class or was it learned at home? *

Any dominance or submissive behavior with people? *

Growling is a form of communication for dogs. Does your dog growl to communicate about anything? Does he/she guard anything? Has your dog ever shown any aggressive behaviors? If so, please describe. Is it with other dogs or people? *

What does your dog do if you try to take food away? *

Allows food to be removedGrowlsSnapsUnknown

Has the dog ever bitten a child or adult? *

YesNo

If the dog has bitten a child or adult, please describe what happened *

Has the dog ever injured another animal, requiring veterinary treatment for the injury? *

YesNo

If the dog has injured another animal, requiring veterinary treatment for the injury, please describe the incident and the outcome. *

Any other behavior comments?

Health Information: Please answer the following questions about the dog to the best of your ability.

Does your dog go to the vet on a regular basis? *

YesNoOther

Approximate month and year of last vet visit? *

Are his/her shots up to date? *

YesNo, not up to dateOther

If the dog has been heartworm tested, what were the results? *

Is he/she on regular preventative heartworm medicine? *

YesNo

If yes, what brand of heartworm medicine do you use? What is the strength and what day of the month do you administer it? *

Is he/she on flea/tick medicine? *

YesNo

If yes, what brand of flea/tick medicine and when was the last dose? *

Vet Practice Name, City, and Phone Number *

Does the dog have any current or recurrent health conditions, such as ear infections, skin problems, or medications used (other than preventative)? Describe any conditions. *

What food do you feed the dog? What amounts and at what times? *

Any other health or vet comments?

Summary:

To your knowledge, is there any type of person or household with whom we should NOT place your pet? *

What type of home would your dog thrive in best? *

Is there anything else you would like to share? *

How did you find out about our rescue? *

Please upload a recent photo of the dog *

No file chosen

Please read and agree to the following:

I certify that I have provided all known information about this dog’s health and behavior in this application, and that in hitting the submit button below I indicate my trust in FRR and give the Rescue the authority to make decisions that are in the best interest of this dog.

Date *

Is text communication accepted at the above number? *

Are you the legal owner of the dog? *

Are there additional owners of the dog, such as a spouse or partner? *

Sex *

Spayed/Neutered *

Purebred or a mix? *

Does the dog have a microchip in place? *

If from a breeder, have you contacted the breeder about returning the dog?

Is the dog house trained? *

Is the dog crate trained? *

Does he/she ride well in the car? *

Is he/she good with grooming? *

Is he/she good at the vet? *

Does he/she have any separation anxiety (problems when you leave him/her alone)? *

How does your dog behave with new people in the home? *

What does your dog do if you try to take food away? *

What does your dog do if you try to take toys away? *

Has the dog ever bitten a child or adult? *

Has the dog ever injured another animal, requiring veterinary treatment for the injury? *

Does your dog go to the vet on a regular basis? *

Are his/her shots up to date? *

Is he/she on regular preventative heartworm medicine? *

Is he/she on flea/tick medicine? *