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

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Dog's Name:

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Age:

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Weight:

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Breed:

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Gender:

MaleFemale

DOB (If known):

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Are you the original owner of the dog?

YesNo

For dogs NOT adopted through OAAR, how did you acquire the dog?

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For how long have you owned the dog?

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Why are you surrendering the dog? Please be detailed and specific.

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Name and Phone Number of Veterinarian

PLEASE NOTE: ALL medical records must be submitted to the rescue in order to proceed with the surrender process. Please send via email to: Info@Ollieangels.org

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When was the dog's last vet visit?

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Is the dog spayed/neutered?

YesNo

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Is the dog up to date with vaccines? Check all that apply.

DHPPRabies (if age appropriate)BordatellaLeptosporosisLymeInfluenzaMy dog is not up to date with vaccines.

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Is the dog up to date with the following? Check all that apply.

Heartworm PreventativeFlea/Tick PreventativeHeartworm test within the past 6 monthsGeneral health exam within the past 12 months.My dog is not up to date.

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Is the dog on any daily medications or has the dog been diagnosed with any medical conditions?

YesNo

If you answered yes to the above question, please explain in detail.

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What is the date of the dog's last heartworm test?

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What brand of food does the dog eat?

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How much does the dog eat and how many times a day?

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House trained?

YesNo

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Crate trained?

YesNo

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What commands does the dog know?

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Does the dog ride nicely in the car?

YesNo

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Does the dog walk nicely on a leash?

YesNo

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Is the dog good off-leash?

YesNo

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Does the dog get along with other dogs?

If not, please explain.

Does the dog get along with cats?

If the dog has never interacted with a cat, please leave blank.

YesNo

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Has the dog regularly been around children?

Please provide detailed information regarding the dog's previous interactions with children.

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How does the dog react when meeting new people?

Please explain.

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How would you describe the dog's personality?

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What are the most positive traits in the dog?

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Does the dog have separation anxiety?

YesNo

If you answered yes to the above question, please explain in detail, including what steps have been taken to manage the separation anxiety.

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Has the dog ever bitten someone (human or animal)?

YesNo

If you answered yes to the above question, please explain in detail.

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Has a professional trainer worked with the dog to address concerns?

Prior to rehoming a dog, we require that owners enlist the help of a professional trainer.

YesNo

For how long has the trainer been working with the dog and what issues have been addressed?

Please provide the trainer's name and contact information.

Please let the trainer know that we will be in touch.

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What type of daily exercise does the dog receive?

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What is the dog's activity level?

Very minimal.Requires a small amount of daily exercise.Requires normal and consistent daily exercise.Requires an above average level of daily exercise.Requires a very high level of daily exercise.

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Please describe in detail the ideal home for the dog.

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Are there any quirks, habits, routines, etc of which the rescue should be aware?

This question provides valuable insight into the dog and helps us ensure that the pet has a successful placement. Many quirks or habits are common behaviors natural to all dogs and have simple solutions to resolve, which we can share with a future adoptive family.

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Does the dog have any of the following fears:

Thunder/LightningLoud noisesPassing carsBeing aloneVet visitsOther dogsCatsMen WomenTeenagersYounger childrenNo fears.

If you answered yes to any of the above fears, please explain.

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Does the dog have any concerning habits?

Please provide 100% honest information.

Please provide any additional information that you feel the rescue needs to know.

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I understand that as a foster based rescue, Ollie's Angels Animal Rescue requires time to find the proper placement for my dog. As the legal owner of said dog, if I feel the dog presents a danger in my home, I am responsible for boarding fees until an appropriate foster placement is found.

YesNo

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I understand that as the legal owner, I will provide the contact information for a reputable trainer who has worked with the dog. If, as the legal owner, I am unable to provide this information, I assume responsibility for the cost of a full behavioral evaluation performed by one of OAAR's recommended trainers. This evaluation is required prior to the removal of any dog from a home.

YesNo

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I understand that all surrendered dogs must be up to date with: DHPP and rabies vaccine, flea/tick preventative, heart worm preventative, a general health exam performed within the past 12 months, and a heartworm test performed within the last 6 months. I understand that as the dog's legal owner, it is my responsibility to update the vaccines and preventatives, at my expense, prior to surrendering the dog.

YesNo

The Owner agrees that if Ollie’s Angels Animal Rescue agrees to take possession of the Animal, removing the Animal from his/her current home is contingent upon securing an appropriate foster or forever home. OAAR is unable to guarantee a specific time frame, as this is dependent upon the availability of a suitable foster or forever home. I agree to retain custody of the Animal until an appropriate foster or forever home is found.

YesNo

Terms of Agreement

Release and Transfer: If the dog is accepted into the rescue, The Owner hereby relinquishes all present and future rights and claims to the Animal. The Owner hereby transfers the ownership of said Animal to Ollie’s Angels Animal Rescue for the purpose of having Ollie’s Angels Animal Rescue care for the Animal or search for a new home for the Animal. The Owner understands and acknowledges that upon execution of this Agreement, the Owner does not have the right to make any future decisions concerning the Animal, including, but not limited to medical and adoption decisions. The Owner hereby releases Ollie’s Angels Animal Rescue from any and all liability arising from the placement for adoption or any other necessary or appropriate action undertaken by Ollie’s Angels Animal Rescue on behalf of the Animal. Indemnification: The Owner agrees to indemnify and hold Ollie’s Angels Animal Rescue, its directors, officers, employees, representatives, volunteers, agents, subsidiaries, parents, affiliates, agents, and representatives from any and all liability that may result from the following: (a) the Owner not having the legal right to transfer ownership of the Animal; (b) claims made against the owner of the Animal that occurred prior to the execution of this Agreement; and (c) any misrepresentation about the Animal, including, but not limited to the Animal’s behavior or medical history that was provided in the Ollie’s Angels Animal Rescue Surrender Form. Rehoming: The Owner agrees that if Ollie’s Angels Animal Rescue agrees to take possession of the Animal, removing the Animal from his/her current home is contingent upon securing an appropriate foster or forever home. OAAR is unable to guarantee a specific time frame, as this is dependent upon the availability of a suitable foster or forever home. I agree to retain custody of the Animal until an appropriate foster or forever home is found. Post-Surrender Confidentiality. After surrendering the Animal, the Owner shall hold in confidence and keep confidential all Confidential Information and shall not directly or indirectly, in any manner or for any purpose whatsoever, use, copy, recreate, reproduce or allow to be used, copied, or reproduced for the benefit of, or disclose, transmit, transfer or communicate or allow to be disclosed, transmitted, transferred or communicated to, any person any Confidential Information. For greater certainty, this prohibition shall extend to prohibit the Owner from further discussing the Animal or disclosing Confidential Information on social media or otherwise. Terms of Release: My signature below reflects that I have read and understand the information provided above, and I am hereby releasing all rights for this animal to Ollie's Angels Animal Rescue.

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Today's Date

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OWNER'S FULL NAME

Digital Signature: Each party agrees that this Agreement and any other documents to be delivered in connection herewith may be digitally signed, and that any digital signatures appearing on this Agreement or such other documents are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

Surrender Form

Personal Information

General Information - Please Read Carefully and Follow Directions