Pep's Pals Rescue Dog Owner Surrender Form

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

Personal Information

Pet Information

In Days, Months, Years - provide the pet's date of birth if you know it!
How many males & females?
If you don't know the exact breed makeup, put your best guess
Is this an adoption return?
Your dog cannot be good with all dogs, just males or females, just small or large dogs, and dog selective all at the same time. ONLY put what you know is true about who they are good with to the best of your ability as this helps us with placing them safely.
ONLY put what you know is true about who they are good with to the best of your ability as this helps us with placing them safely.
Must include the exact formula.
I.e. Men, Women, Kids, Dogs, Weather (thunder, rain), etc.
This is just if this is not an adoption return where you are already required to foster the pet until another foster/adopter is found or until transport comes around again.

Your Pet's Pictures & Medical Records

Owner Surrender Agreement

If you are unable to get your dog up-to-date on vaccinations and spayed/neutered, please consider a monetary donation upon surrendering your dog to help cover part of these costs. We sincerely appreciate receiving a monetary donation from the dog’s owner whenever it’s financially possible. Our suggested minimum donation fee is $100.00.

Surrender Fee Donations may be made via 1 of the methods listed below:

Zelle: Pepspalsrescue@gmail.com

Cash App: $PepsPalsRescue

Venmo: @Peps_Pals  (Last 4 digits 2040)

PayPal/Credit/Debit (They take 2.9% + $0.30): https://www.paypal.com/donate/?hosted_button_id=K6PX49EKUEK78

Mail Check To: Pep's Pals Rescue, P.O. Box 532, Brookeville, MD 20833

If this is an adoption return and/or Pep's Pals Rescue is mandating the return of the dog(s), you must agree to the terms of this agreement as there is no other choice.
If this is an adoption return and/or Pep's Pals Rescue is mandating the return of the dog(s), you must agree to the terms of this agreement as there is no other choice.


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