Owner Relinquish Form

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

* GenderMaleFemale

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Owner Relinquish Form

We understand that relinquising a dog can be a difficult decision, and we appreciate you reaching out to us. In order to better understand your dog and assess if we can accomodate them, please complete this form in full. Please note that completing this form does not guarantee acceptance of your dog into our program. We will review your responses and contact you as soon as possible to discuss further steps. Thank you for considering Thrive as an option for your dog.

Thrive will charge a $350 Relinquish Fee per dog, if accepted.

What is your dog's name?

How old is your dog?

Is your dog male or female?

MaleFemale

Is your dog spayed or neutered?

YesNo

What is your dog's estimated mix or breed?

How much does your dog weigh?

Where did you originally find, rescue, or purchase the dog from? Please provide full name and contact information of rescue, shelter, or breeder if applicable.

Most rescues, shelters, and breeders have "first rights" to their dogs if an owner decides to surrender the dog. Have you contacted the original rescue, shelter, or breeder?

What reasoning did the original rescue, shelter, or breeder have for not accepting their dog?

Has your dog received all necessary vaccinations?

Is your dog currently on any medication? Do they currently or have they ever had any medical complications or health issues?

Please upload a current photo of your dog.

How long have you owned your dog?

Please upload full medical record. This is required before being considered or accepted into our program.

How does your dog typically behave around other dogs?

Friendly and respectable Friendly and in your face, doesn't understand dog's boundariesShy for a few minutes but warms upNeutral, keeps to themselves, likes to hangout on the sidelines rather than actually playFearful and forwardly reactive or aggressiveFearful and shuts down or cowers away

Have you had any of the following experiences with your dog, either currently or in the past?

Aggressive towards menAggressive towards womenAggressive towards childrenAggressive towards another dog, excluding self-defenseAggressive towards another dog, including self-defenseAggressive towards another pet (cat, rabbit, horse, goat, etc)My dog has never been aggressive towards humans or pets of any kind in any situation

Have you had any of the following experiences with your dog, either currently or in the past?

Resource guards from humans (preferred toys, food, bowls, other humans or pets, etc)Resource guards from pets (examples above)My dog has never shown signs of resource guarding towards humans or pets of any kind in any situation

If you answered 'Yes' to any of the above situations, did you seek out professional training? With what company or trainer? For how long? What was the outcome?

How does your dog react to new people or unfamiliar environments?

Has your dog ever been exposed to children? If so, how did they react? How old were the children?

Has your dog ever been exposed to a cat? If so, how did they react?

Is your dog house trained? Do they have any specific obedience commands or trainings that they respond to?

Is your dog comfortable being crated or confined? Where do they usually sleep? Where are they usually left when you leave the house?

Does your dog have any separation anxiety or destructive behaviors when left alone?

Is your dog comfortable being handled, groomed, or examined?

What type of exercise and mental stimulation does your dog currently receive?

How is your dog in a car?

What are some of your dog's favorite things?

What are some of your dog's least favorite things?

What is the main reason you are surrendering this dog? What have you tried, if anything, to overcome barriers to keep them?

Is there any additional information you would like to share about your dog?

Thank you for filling out our owner relinquish form. We will review your responses and be in touch shortly regarding any additional questions or next steps.

Please note that completion of this application does not mean that your dog has been accepted.

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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