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 INSIDE LOOP CONDITION TEST Testing Coco July 9, 2026 INSIDE LOOP CONDITION TEST Testing Jack June 29, 2026 INSIDE LOOP CONDITION TEST Testing Duke June 22, 2026 INSIDE LOOP CONDITION TEST Testing Koha June 22, 2026 INSIDE LOOP CONDITION TEST Testing Sukki June 12, 2026 INSIDE LOOP CONDITION TEST Testing Diesel May 31, 2026 INSIDE LOOP CONDITION TEST Testing Sunny May 14, 2026