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.
By completing this Owner Surrender Form, you do hereby assert that you are the legal owner and agree to relinquish any and all interest and rights to the pet(s) listed below. Once this form is completed and you have surrendnered said pet in the care of White Kisses Great Dane Rescue, you no longer have control over the care of this pet. You also have no recourse for reclaiming this pet at a later date.
Note: We will call you within a few days of receiving the form. We can not always take the dog(s) for a variety of reasons, but will be more than happy to recommend other rescues and options if by chance we can not take your dog(s).
Age and Gender of Dog(s) being surrendered:
Name of Dog(s) being surrendered:
Spayed/Neutered?
Current on Vaccines?
Vet Clinic Name:
Vet Full Name:
Vet Clinic Phone Number:
Vet Clinic Address:
Full name of person pet(s) are listed under:
Health Issues/ Medications? List any and all know:
Has your dog ever bitten anyone, any animal or shown aggressive behavior at any time?
If yes, please provide specific details about the bite or aggressive behavior:
Food currently being fed?
Crate trained?
House trained?
Fence jumper?
Does the dog know basic commands?
How is your dog with children?
How is your dog with other animals? (small dogs, big dogs, cats, livestock, etc)
If your dog is special needs, does your dog know any hand signals/touch commands?
If yes, please describe the signals he/she knows:
Describe your dogs personality:
Any fears he or she may have? (Men, woman, kids, weather, etc)
Upload Photo of Dog 1:
Upload Photo of Dog 2:
Upload Photo of Dog 3:
I fully understand that I am relinquishing ownership of my dog to White Kisses Great Dane Rescue. *
Reasons for you are relinquishing your dog? Please be specific.
How/ where did you hear about White Kisses Great Dane Rescue?
I understand that I am relinquishing full ownership of the above listed animal(s) to White Kisses Great Dane Resuce. I understand that this animal will be spayed/neutered and fully vetted prior to being placed for adoption. I agree to give up the dogs registration papers and all medical records available to and allow White Kisses Great Dane Rescue to contact my vet if necessary.
Signature:
Date:
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.