Owner Surrender Form Name * First Name Last Name Email * Phone number * Pet information/Names * Pet ages/When were they born? * Please explain the situation of the dog needing to be re-homed/surrendered: * To my best knowledge, this dog is in good health * Yes No What vaccinations has this dog received? * Is this dog dog-friendly? * Yes No I don't know Is this dog cat-friendly? * (Does he/she get along with cats?) Yes No I don't know Is this dog kid-friendly? * (does he/she get along with children?) Yes No I don't know Is he/she microchipped? Please provide the chip number if you have it on hand. * Has this dog ever bit anyone? If so, please explain the incident. * Are you able to take the dog to a local vet for any vaccinations & health certifications that he/she will need? In surrendering the dog to Up Pup and Away, vet costs will be covered by the rescue group. * By typing your name in the below box, you agree that you will be surrendering your dog to Up Pup and Away Animal Rescue and the dog will no longer be in your care. All vetting documents will need to be sent to the rescue for record keeping and transport. We would be happy to provide updates of the dog (upon request). * First Name Last Name Thank you!
