Owner Surrender

We are located in Green Cove Springs, Florida

We are unable to 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

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

City *

State *

Zip Code *

Dog's Information

Name of your dog: *

Sex: *

Male Female

How old is your dog? *

Why do you need to owner surrender and how soon do you need to surrender? *

How long have you owned your dog? *

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)? *

Breeder Information: If you purchased your dog from a breeder, please provide as much information as possible in this section.

Have you contacted your dog's breeder or previous owner (if known)? If no, why not? *

Breeder's Name: *

First

Last

AKC/CKC etc. Registration: (If Applicable) *

Kennel Name: (If Applicable) *

Breeder's Address: *

Breeder's City: *

Breeder's State: *

Breeder's Email: (If Applicable) *

Breeder's Phone Number: *

Did you sign a contract with the breeder? *

Yes No

Is your dog *

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? A dog kept outside only with a fenced yard? A dog kept outside on a tie-out or chain?

Is your dog housebroken? *

Yes No

Has your dog had any formal obedience training? If yes, please describe: *

Is your Dog Crate Trained? If Yes, how many hours is he/she left alone in a crate? *

Is your dog possessive or displayed any aggression when exposed to treats, toys, or food? *

Yes No

If your dog has ever shown aggression towards any person or with an animal Please Explain the circumstances *

Your Dog's Medical History

Is your dog up to date on flea, tick prevention? *

Yes No

Is your dog microchipped? *

Yes No

Is your Dog currently on Heartworm Prevention, if Yes, please provide the brand provided and when is your dog next due? *

Veterinarian's Name: *

First

Last

Veterinarian's Practice: *

Is your dog spayed/neutered? *

Yes No

Do you have a Current Rabies Certificate? *

Yes No

Veterinarian's Phone Number: *

Veterinarian's Address *

City: *

State: *

Zip Code: *

Please provide a picture of your dog. *

Max file size: 20MB

Owner Surrender

Owner Surrender Form

Dog's Information

Your Dog's Medical History