Give-Up Information Form

Give-Up Information Form

Name:
Email Address:
Relinquishment of Rights
Please complete this form, providing as much detail as possible. After you have completed the entire form, click on "SUBMIT" when ready to send. Please be careful not to press "ENTER" before completing the form.
(NOTE: If you do accidentally press "ENTER," please resubmit your form. If you are given the option of continuing to fill out the form, please do so and press "SUBMIT.")
Your name
Address
Phone
E-mail
Pets name
Pets breed
This animal is
Approximate weight
Length of time you�ve owned this animal
PREVIOUS OWNERS
Name
Address
Formal obediance training? If yes when and where
Walks nicely on a leash?
Pulls sometime?	Yes No Other
Sits on command?	Yes No
Lays down on command?	Yes No
Comes always when called?
Other training-related comments
Never has a problem with other dogs?
Sometimes has problems with male dogs?
Sometimes has problems with female dogs?
Has problems with dominant dogs?
Is dominant, himself or herself?
Is submissive, himself or herself?
Is indifferent?
Explain, if necessary
Has lived with cats
Has been around cats and is okay with them?
Ignores cats?
Chases cats because of interest?
Chases cats as prey?
Explain, if necessary
Has your dog ever had formal obedience training? Please describe.
Has your dog ever seen a behaviorist? Please describe.
Is okay with children?
Prefers older children?
Has not been around children?
Plays with (check all that apply)
Completely housetrained?
Sometimes has accidents?
Needs to be housetrained?
How does dog tell you he or she wants to go out?
Is okay with a fenced-in yard?	Yes No
Jumps fences?	Yes No
Digs in yard?	Yes No Sometimes
Does the pet have any fears (i.e., thunderstorms, loud noises, etc.)?
Does the pet chew things up?
If yes, what?
Can you take things from your pets mouth?
Can you take toys and food away from your pet?	Yes No
Is there any part of your pets body that it doesnt like touched (i.e., paws, tail, back, etc.)?
Is your pet destructive when left alone?
Has your pet ever bitten a human being?
If yes, describe the circumstances.
Has your pet ever killed another animal?
If yes, describe the circumstances.
Date last heartworm meds given
Heartworm med type
Date last flea treatment
Rabies vaccination date
Rabies period
DHLPP vaccination dates
Lyme disease vaccination dates
Bordetella dates
Date of last deworming
Brand and type of food
Fed
How much exercise does the dog get daily?
What sort of exercise? (For example, if walks, what distance? If yard time, how much?)
Do you have another dog of other pets in the home? Describe.
Where does the dog sleep?
Names of medications your pet is on and dosages pet must take
Has your dog ever been diagnosed with an ongoing medical condition such as epilepsy or hip dysplasia? If so, what?
Provide any other information you believe would help the foster family for your pet
Why are you giving up this pet?
Are you willing to keep this pet until we can find a home for it?
Applicants signature
Date

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Donate a Bed for a Needy Dog

We have dogs who will be sleeping on the floor this winter because we don't have enough beds. All Breed loves Kuranda beds because they are durable and chew-proof. If you would like to donate a bed, click here. Thank you - you'll sleep better, too!

FOSTER CARE

A foster parent speaks.

Thank you for bringing this foster dog into my life. Had I not made a decision to participate in rescue, I would never have had the chance to meet him. If I had sat here comfortably in my home and said, "I already have four dogs and I know that I couldn't take in another - even on a temporary basis," I would never have met this dog.
Yes, it takes time to rescue and foster . . . but who gave me TIME in the first place? And why or what was the reason I was given TIME? To fill my own needs? Or was there another reason ever so small and seemingly insignificant, like rescuing this one dog, that could make a difference in another's life? Perhaps to add joy, hope, help and companionship to another who is in need?
With great sadness I sat down on a footstool in my kitchen this morning and watched as this foster dog bounced back into the house and skidded across the floor to sit ever so perfectly in front of me.
He was the picture of health, finally. He was all smiles for me ... and I smiled back at his happy face. Deep in his eyes, the storm clouds of illness and generalized poor health had blown away and the clear light of his perfection radiated out from his beautiful soul.
He holds no ill will towards man. He forgives us all.
I thought to myself as I impressed this one last long look of him into my heart, what a very fine creature you have created.
Tears slowly pooled and spilled over my cheekbones as the deeper realization of how wonderful this dog is sank into my internal file cabinet of Needful Things to Remember. Lord, he's a dog - but he's a better human being than I am.
He has forgiven quickly. Would I do the same? He passionately enjoys the simple things in life. And I have often overlooked them. He accepts change and gets on with his life. I fuss and worry about change. He lives today and loves today.
And I often dwell in the past or worry about the future. He loves no matter what. I am not that free.
This very loving dog has gone to his new home today and already I miss him. Thank you for bringing this dog into my life.
And thank you for the beautiful and tender lesson on how to be a better human.
-- Author unknown.