Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.
Adopted pet's current name:
Adopted pet's name at time of adoption:
Did you adopt your pet from MatchDog?
Pet's Microchip ID
If you did not adopt your pet from MatchDog Please describe the name and address of the individual or organization where you acquired your pet. Please include as many details as possible including. If your dog was a MatchDog please state so in this block in order to proceed.
Date of adoption:
Is your dog up to date of rabies, parvo//distemper, and bordatella vaccinations?
Is your dog up to date on monthly heartworm prevention?
Date last heartworm preventative was given:
Is your dog up to date on flea and tick prevention?
Date last flea/tick preventative was given:
Is your pet spayed or neutered?
Please provide the name and phone number of your dog's veterinarian:
Does your dog have any medical or behavioral issues? If so, please explain:
If you have provided professional training for this dog, please provide name and phone number of the trainer
Has this dog ever bit a person or another pet? If so, please explain:
Please tell us why you are giving up this dog. Please be honest as this will help us understand why this dog is not working out in it's current home and how we can replace the pet in a more appropriate home:
Please tell us about your dog's personality, likes/dislikes, quirks, etc. The more information we have for a bio, the faster we can find an adopter and rehome him/her.
Please attach all vet records you have for this dog:
Please attach pictures of the dog you are surrendering:
How long ago did you adopt your pet?
Is your dog house trained?
Is your dog crate trained?
What commands does your dog know?
What is your dog's energy level?
Does your dog like children? If it depends on age please be specific.
Is your dog destructive to furniture or belongings? If so, when does the destructive behavior occur?
Would you describe your dog as submissive or dominant?
Does your dog get along with other dogs and cats?
Is your dog food aggressive?
How does your dog react to visitors in your home?
How does your dog react to people he/she lives with?
Please tell us about your dog's personality, likes, dislikes, quirks, triggers, etc. The more info we have the faster we will be able to place them.
If you were not able to attach to this form, please attach all vet records and photos to an email and send to email@example.com
Do you understand by submitting this form you are surrendering the dog specified to MatchDog Rescue. You are no longer the owner of this dog and are acting as a foster parent until MatchDog Rescue can get this dog adopted or placed in another fosters home.
Do you understand and agree to the above disclaimer?
Your typed signature below represents that you are entering into a legal and binding contract with MatchDog Rescue.