K9 Services German Shepherd Rescue
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Owner Surrender Form
We are located in Green Cove Springs, Florida
We can not Provide Transport Assistance. If we have space availability and can accept your German Shepherd we ask that you bring your dog to the Rescue for initial Behavioral Evaluations. Please note We are no longer accepting dogs in Rescue that are unable to get along with other dogs because we have a Pack Environment at Shep Camp.
To Continue:
Please Provide All Information
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Indicates required field
Name
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First
Last
Phone Number
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Email
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Address
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City
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State
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Zip Code
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Dog's Information
Name of your dog:
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Sex:
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Male
Female
How old is your dog?
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Why do you need to owner surrender and how soon do you need to surrender?
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How long have you owned your dog?
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Where did you acquire your dog from (for example, adopted as a puppy, adopted from a Rescue group, picked up as a stray, purchased from a breeder, etc)?
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Breeder Information: If you purchased your dog from a breeder, please provide as much information as possible in this section.
Breeder's Name:
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First
Last
AKC/CKC etc. Registration: (If Applicable)
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Kennel Name: (If Applicable)
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Breeder's Address:
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Breeder's City:
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Breeder's State:
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Breeder's Zip Code:
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Breeder's Email: (If Applicable)
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Breeder's Phone Number:
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Have you contacted your dog's breeder or previous owner (if known)? If no, why not?
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Did you sign a contract with the breeder?
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Yes
No
Is your dog
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An indoor dog with the run of the house?
An indoor dog confined to one area of the house?
An indoor dog who is crated?
An outdoor dog with a fenced yard?
An outdoor dog on a tie-out or chain?
An outdoor dog without restrictions?
Is your dog housebroken?
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Yes
No
Is your dog crate trained?
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Yes
No
Has your dog had any formal obedience training? If yes, please describe:
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Is your dog (Please check any traits that apply)
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outgoing
nervous
shy
good with men
good with women
good with teenagers
good with younger children
good with male dogs
good with female dogs
good with cats
good with other small animals
Is your dog possessive with treats, toys, or food?
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Yes
No
Has your dog ever shown aggression towards any person or other animal? If yes, please explain:
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Has your dog ever bitten or snapped at anyone and/or at any other animal?
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Yes
No
If yes, please give more details. Please include whether your dog has bitten and/or snapped, the circumstances, and if your dog has bitten, whether the bite(s) broke skin.
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Your Dog's Medical History
Is your dog up to date on vaccinations?
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Yes
No
Is your dog spayed/neutered?
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Please choose
Yes
No
Is your dog current flea/tick and heartworm prevention?
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Flea/Tick prevention
Heartworm prevention
Not Current on Flea, Tick, Heartworm prevention
Is your dog microchipped?
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Yes
No
If "Yes", please provide the microchip number.
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Veterinarian's Name:
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First
Last
Veterinarian's Practice:
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Veterinarian's Phone Number:
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Veterinarian's Address
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City:
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State:
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Zip Code:
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Please provide a picture of your dog.
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