Refuge Rescue, Inc.
Phone: 678-250-3647
Email: info@refugerescue.org

Pet Surrender


Fill out the form below. Please complete all sections of it.

You can save your current form progress and come back later.
Save Progress

Your Personal Information

General Information

i.e. AKC, CKC, UKC

Vetting/Medical Information

If none, write 'none'
If unknown, write 'unknown'
If unknown, write 'unknown;

Behavior/Training Information

i.e. chew, bark incessantly, dig, jump/climb fences, protect food, protect toys, submissive wetting, etc.
i.e. ride in car, swim, run, fetch, play with other dogs, etc
i.e. corrective collar, confinement, rolled-up newspaper, scream “no”, smack with hand, other
i.e. family dog, one-person dog, shy, friendly, destructive, active, easy going, quiet, playful, obedient, noisy, aggressive, etc.

Photo(s) and Medical Records


You can save your current form progress and come back later.
Save Progress