Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

TELL US ABOUT YOUR DOG.

What type of Retriever is your dog?

Labrador RetrieverGolden RetrieverDoodle - Golden or LabOther Retriever or Mixed Non-Retriever Breed

What is your dog's name?

Is your dog a male or female?

MaleFemale

Is your dog a "purebred" Retriever?

Purebred means you have paperwork supporting this claim, such as the dog's bloodlines. It could be from a breeder and/or the American Kennel Club (AKC). However, word of mouth would not be acceptable. If your dog is not a purebred, it's okay; we love them all!

YesNo

Why are you rehoming your dog?

Please be as descriptive as possible. The more we know about your dog, the better we can help them find a great forever home.

What is the dog's age?

How long have you owned your dog?

Is your dog microchipped?

YesNo

If answered YES, please enter the number.

Who or where did you get your dog from?

What color is your dog?

The prominent colors for Labrador Retrievers are Yellow, Chocolate, and Black. The yellow can be almost a white/creme to a "fox red". There is also a Silver color that the AKC recognizes. Golden Retrievers are Light Golden, Golden, and Dark golden. Like the Labrador, the light Golden can be almost white. Use your best guess because no matter what the color, they are all wonderful!

How much does your dog weigh?

This can be an approximate weight.

Is your dog spayed or neutered?

YesNo

Can you provide a spay or neuter certificate?

If YES, please upload the certification at the end of this application.

YesNo

Is your dog current on all their vaccines?

YesNo

Can you provide a current record and/or certificate of your dogs shots?

If YES, please upload those documents at the end of this application.

YesNo

Please describe ANY known medical issues your dog has.

Is your dog housebroken?

YesNo

Is your dog crate trained?

YesNo

Is your dog friendly to other dogs?

YesNo

Is your dog cat friendly?

YesNo

Is your dog accustomed to being around children?

YesNo

Has your dog ever bitten a person or another animal (dog, cat, etc)?

This would include minor wounds, was it during play, feeding time, guarding its food or a toy, etc. It is also helpful to know if medical attention was needed, and if Animal Control was contacted. Please understand, answering yes to this question does not mean we won't take the dog. There are many other factors we will examine.

How active is your dog?

Extremely High EnergyHigh EnergyMedium EnergyLow EnergyExtremely Mellow

Does your dog walk on a leash?

YesNo

Is your dog a barker?

YesNo

Has your dog had any professional training?

Sit and StayBoard and Train (Non-Aggression)Behavior Training for AggressionBehavior Training for Resource GuardingOther (A WCLRR volunteer will speak with you)No Training

Does your dog chew or dig?

YesNo

Does your dog have separation anxiety?

YesNo

Does your dog like to swim or like the water?

Yes!!!!!Likes the hose or the sprinklersLikes to splash around in their water bowlNoI don't know

What brand of food are you currently feeding your dog?

Brand, Kibble, Canned, combination

How often and how much are you currently feeding your dog?

Is your dog on any kind of flea medication? If yes, what kind/brand and when was the last dose given?

Does your dog currently sleep inside or outside of the house?

How soon do you need to surrender your dog?

ImmediatleySoon 1 -2 weeks3-4 weeksno rush

Are you able to provide a tax deductible donation to the rescue upon surrendering your dog?

This is NOT a requirement for us to take a dog into WCLRR. However, 90% of the dogs surrendered to WCLRR will need some sort of medical or behavioral treatment. Your donation will help us to help the dog you are surrendering to find a great forever home. Any amount is appreciated!

YesNo

Are you able to drive your dog to a WCLRR volunteer to have it evaluated?

YesNo

UPLOAD PHOTOS

Please upload THREE current pictures of your dog. If you don't have any photos available right now you can also email them to surrender@wclrr.org. Make sure you have your name in the "Subject Line" so we can match it with this form. We must receive photos in order to proceed with your surrender request.

Dog Picture Upload #1

Dog Picture Upload #2

Dog Picture Upload #3

UPLOAD MEDICAL DOCUMENTS

Please upload any medical documents you have for your dog. If you don't have any documents available right now, you can email them to surrender@wclrr.org. Make sure you have your name in the "Subject Line" so we can match it with this form.

Spay or Neuter certificate or paperwork.

Current vaccine(s) certificate or paperwork.

Any other medical documentation you may have on this dog. Please scan it all into one file to upload.

UPLOAD MISCELLANEOUS DOCUMENTS

Please upload any other documents you have for your dog. If you don't have any documents available right now, you can email them to surrender@wclrr.org. Make sure you have your name in the "Subject Line" so we can match it with this form.

MISCELLANEOUS #1

MISCELLANEOUS #2

MISCELLANEOUS #3

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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WCLRR - Surrender My Pet

Personal Information

TELL US ABOUT YOUR DOG.

UPLOAD PHOTOS

UPLOAD MEDICAL DOCUMENTS

UPLOAD MISCELLANEOUS DOCUMENTS