Canine Surrender FormFirst NameLast NameDate of birth (day / month / year)EmailContact NumberAddress Line 1Address Line 2SuburbPostcodeState- Select -QLDWAVICSANSWTASAnimal DetailsPlease provide details regarding your animal.What are you surrendering?- Select -Individual adult dog (over 6 months)Individual puppyLitter of puppiesNumber of Male Puppies (If known)Number of Female Puppies (If known)What is the name of your canine/s?What is the estimated birth date of your dog / puppies? What is the breed of your dog/puppies?We need to know a bit more about your canine/s. Proof is required for each of the below responses. Please upload documents here or email to sdc@angelpawsinc.com.au.Choose File Is your canine/s desexed? Yes NoIs your canine/s vaccinated? Yes NoIs your canine/s microchipped? Yes NoIf known, please provide your canine/s microchip number.Is your canine/s on yearly heartworm prevention? Yes NoBehaviourPlease provide details about your pet's behaviour and habits below.Where is your canine/s kept? - Select -Indoors onlyOutdoors onlyIndoors and outdoorsIs your canine/s toilet trained? Yes NoHow does your canine/s react to: Other dogs- Select -FriendlyUnfriendlyHidesAvoidsHow does your canine/s react to: Cats- Select -FriendlyUnfriendlyHidesAvoidsHow does your canine/s react to: Young children (under 10 years)- Select -FriendlyUnfriendlyHidesAvoidsHow does your canine/s react to: Older children (over 10 years)- Select -FriendlyUnfriendlyHidesAvoidsHow does your canine/s react to: Unfamiliar men- Select -FriendlyUnfriendlyHidesAvoidsHow does your canine/s react to: Unfamiliar women- Select -FriendlyUnfriendlyHidesAvoidsHow does your canine/s react to: Poultry and birds- Select -FriendlyUnfriendlyHidesAvoidsHas your canine/s ever been declared a Dangerous Dog or under investigation by Council? Yes NoIf so, please provide more detail.Has your canine/s ever caused injury to a person or animal? Yes NoIf so, please provide more detail.How does your canine/s cope being home alone? - Select -FineAnxiousBarks alotHow long is your canine/s left alone for each day? - Select -Less than 6 hoursBetween 6 and 10 hoursMore than 10 hoursHow high is the fencing your dog is currently housed in? - Select -No fences3ft - 4ft4ft - 5ft5ft - 6ftHow active is your canine/s? - Select -HighlyModeratelyA littleDoes your canine/s vocalise excessively?- Select -AlotSometimesNoDoes your canine/s like to be patted?- Select -AlotSometimesNoDoes your canine/s like to be picked up?- Select -AlotSometimesNoAdditional DetailsPlease include some additional details such as any pre-existing medical conditions, their vet clinic, etc.Is your canine/s on a special diet? Yes NoIf so, please elaborate on the dietary requirements.Does your canine/s have any pre-existing medical conditions? Yes NoIf so, please elaborate on the medical conditions.When was your canine/s last seen by a vet and at which clinic?Where did you originally obtain your canine/s? - Select -Animal shelter or rescue organisationAngel-Paws Inc.Found strayPurchased online or from a breederIf your canine/s was adopted from an animal shelter or rescue organisation, please provide details.How long have you had your dog?Why are you surrendering your animal?Please upload a photo of your canine/s here or email to sdc@angelpawsinc.com.au and include your full name and the name of the animal. Your submission will not be considered unless either is done.Choose/Drop File Terms & ConditionsPlease read and acknowledge the following: I understand that a surrender fee may be charged by Angel-Paws. Any donations will be gratefully accepted and will contribute to the ongoing support of animals in our care. I am the owner of the above-mentioned animal/s and declare that no other person has any proprietary interest therein. I hereby agree to indemnify Angel-Paws Inc. and keep Angel-Paws Inc. so indemnified against all claims (if any), costs, and expenses whatsoever arising from any action by any person as a result of false claims made in this document. I understand that I am not entitled to updates on the condition and location of this animal, and my participation in the Angel-Paws Inc.’s social media or with Angel-Paws Inc. volunteers and supporters is dependent on my interacting in an appropriate manner. I understand that all surrenders are accepted at the discretion of Angel-Paws Inc. and that the decisions made on this matter are final. I realise that the submission of this form in no way obligates Angel-Paws Inc. to take on the animal/s I am attempting to surrender. By pressing submit on this application form, I certify that I am the applicant named in this document and all of the information provided is accurate and truthful and agree to all of the above terms and conditions.Submit Form
