7. Is the dog an inside dog or does the dog live primarily outside?
8. Does the dog like other dogs?
9. Is the dog okay around cats?
10. Do you trust your dog around children? Please explain their exposure and to what age children, if any:
11. Does the dog have any behavior issues, i.e., dog aggression, aggression towards people, children, food, toys, separation anxiety, housebreaking, etc.
13. Does dog have any health issues? If so, please explain:
14. What is the dogs name?
15. Is the dog male or female?
16. What is your name?
17. What Phone Numbers can you be reached at?
18. What is your email address?
Thank you for completing this form. This information will assist our organization in responding to you quickly. Please allow us 24-48 hours to respond. To complete your request, please click the submit button. Thank you.
Owner Surrender Information Request Form
You must be willing to transport the dog you are surrendering to the Dayton, Columbus, or Cincinnati area
If you are needing to surrender a dog, please complete the information on this page and submit when complete. We do not take in: American Staffordshire Terriers, American Bulldogs, Chow Chow's.
12. Has the dog ever bitten anyone?
19. What City do you reside in?
20. What State do you reside in?
21. Did you previously adopt this dog from a rescue organization or animal shelter?
22. Did you purchase this dog from a breeder?
23. Please provide veterinary name, address and phone number used for this dog.
