This Page was last updated June 24, 2010
 

Below is our surrender inquiry form. If you are inquiring about surrendering a dog to rescue, please complete the below form. This form is not a release of dog to rescue.  Rescue reserves the right to refuse entry into the rescue program for any reason.

 

Please provide the following contact information:
Name:
City: State: Zip Code:
Home Phone:     Cell Phone:
Email Address:

 

 
 
Please provide the following information about the dog needing placement
  Name

Sex

Spayed/Neutered

Age

Breeder
1.

M F

Y N

           
2. M F Y N

 

 

Please provide this information

Has the Dog shown human aggression (bit someone, attempted to bite)? If yes, explain.

Please describe dogs general temperament.

Has the dog shown animal aggression? If yes, list circumstances.

Does the dog have any medical issues?

Why do you have to give up your dog?

 

 

Please provide the contact information for your veterinarian:
Name:
Address:
City: State: Zip Code:
Country:     Work Phone:     Fax:
Email Address:

 

Is the dog house trained? Y N
Is the dog crate trained? Y N
Is the dog leash trained? Y N
Is the dog good with children? Y N
Would you be willing to provide a donation to help care for the dog? Y N
Where does dog currently sleep at night (house, outside, garage, crate)?
 
Addition Information:  
Any additional info you think will help us determine if we can take this dog into the rescue program

 

Signed Signed
Signed Signed
Date
A Rescue rep will get back to you within 48 hours

 
 

Copyright © 1997- 2010 Dogue de Bordeaux Society of America Rescue, Inc.  All rights reserved. No part of this website may be reproduced in part without express permission from the DDBSA Rescue.  Pages may be photocopied and distributed in their original format and entirety only. Web address must be present and readable. This site was last revised on 08/09/2011.