Application to Surrender Canine

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

Save Progress

Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Surrender Questions

To surrender a giant breed dog, please complete the following JGRI Surrender Form. Just Giants Rescue, Inc. will NOT consider accepting a dog until a surrender form has been completed. IF YOU ARE SURRENDERING MULTIPLE DOGS, PLEASE COMPLETE A SURRENDER FORM FOR EACH DOG. This information allows us to have a better idea of why the dog is being surrendered, any behavior issues, health issues, etc. JGRI cannot consider placing a dog if we do not have a complete temperament and medical background. It is critical that you complete the application as all of our foster homes have other pets and/or children and we consider their safety first. Because surrendered dogs are placed in foster homes with other pets and/or children, we cannot accept any canines that are aggressive and/or have a bite history (provoked or not).

Completion of this form does not guarantee that Just Giants Rescue, Inc. will accept your surrendered canine. Because of our breed requirements (Giant dog breeds only) foster home or fund limitations, it is sometimes necessary to place the dog on a waiting list. Upon receiving the application, we will consider your dog for our program and look for a suitable foster home; we will contact you about the status of the surrender. Be Advised: At the time of the surrender, Just Giants Rescue, Inc. reserves the right to revoke acceptance of a dog due to aggression, lack of medical records, misrepresentation, etc. Please understand that we are an all-volunteer organization and that it may take up to 48 hours to get back to you regarding your inquiry. In addition, once we decide to take a dog in it takes time to find a foster home and arrange transport; we will not be able to drop everything and accept your dog. Typically it is not an extremely quick process so be prepared for a wait period before we can accept your dog.

Please explain the reasoning for needing to surrender your dog?

Do you understand that JGRI only accepts giant breed dogs and your dog's breed standard should be over 100 lbs to be considered giant.

YesNo

Would you like to make a contribution toward the dog's care while it is in a foster home?

YesNo

How far are you willing to drive to meet an intake volunteer?

How soon does the dog need to be surrendered? why?

General Dog Information

Please gather as many medical records as you can and make sure to provide your dog's veterinary information.

Dog's Name

AKC Registered Name

AKC Number

Dog's Gender

MaleFemale

Age

Include Date of Birth if known

Please upload a picture of the dog.

Dog's Weight

Color/ Markings

Is the dog spayed or neutered?

YesNo

If no, are you willing to donate to this cost to the rescue?

The average cost to have giant breed dog spayed or neutered is $350 for JGRI,

YesNo

Is the dog microchipped?

YesNo

If yes, please provide the microchip number and brand

Is your dog a mix breed?

YesNo

Dog's Primary Breed

JGRI only accepts dog breeds who's standard size is above 100 lbs.

Environment

Has this been the dog's only home?

YesNo

If not, why did the previous owner give up the dog?

Is the dog crate trained?

YesNo

Is the dog house trained?

no potty accidents in the home or kennel

YesNo

Where is the dog kept when you are not home?

Free roam in homeFenced-in yard or dog runCrated or kenneled in homeConfined to an area or roomOther

If other, please explain.

Where does the dog sleep at night?

Can the dog be effectively contained by a baby gate?

YesNo

How many times a day does the dog eat?

1 time2 times3 timesfree feeds

How much does the dog each at each serving?

Any known food allergies? If yes, explain.

Behavior & Personality

As the dog been through professional obedience classes?

YesNo

Is the dog good with children? If yes, what ages?

Is the dog afraid of (check all that apply)

FireworksMenWomenChildrenStormsLoud noisesOtherNone

If other, please explain

Is the dog good with the following (please select all that the dog is good around/seeing on street/in yard, etc.):

MenWomenMale DogsFemale DogsCatsSmall dogsFarm AnimalsSmall outdoor animals

Does the dog do any of the following?

Dig in the yardJump FencesChew/Destroy items or furnitureEats trashCounter surfJump on visitorsBark excessively for no reasonEscape from crateAttacks noisy things like a vacuum cleanerResist grooming/nail trimmingRides well in the carAccepts strangersLikes other dogs

Has the dog ever bitten or snapped at a person.

Including children, strangers, or vets

YesNo

If the dogs has bitten, snapped or killed an animal please explain.

Are any family members afraid of the dog? If yes, please explain.

Type No or give explanation

If your dog came from a breeder please provide the breeder's information

Name, Email and Address are great

Vaccinations

What is the last date the dog was seen by a vet?

Please provide the Veterinarian's Name and contact Information

Check all Current vaccines that your dog has.

Only mark the vaccines & diagnostics which are up-to-date

Rabies, 1 yrRabies, 3 yrBordetellaDHPP, 1 yrDHPP, 3 yrClean Fecal test (within 12 months)

Fecal Test - date and result

When was your dog's last fecal test and what were the results.

Heartworm Test - Date and result

When was your dog's heartworm test and what were the results.

Do you give monthly preventatives?

If yes, please provide the date and preventatives used.

Has the dog undergone heartworm treatment in the past?

YesNo

Has the dog been bred?

YesNo

Has the dog had any other surgeries?

If yes please list the surgeries.

Is the dog on any current medication?

If yes, please explain

Please upload any medical records you have for the dog.

Releases - REQUIRED

By checking yes to the Medical Release box and submitting this application, I certify that the information I am about to provide is true and correct. Additionally, I agree to call my veterinary clinic and give permission for the release of my pet’s medical records to a representative of Just Giants Rescue, Inc.
By checking the Release of Pet Ownership box and submitting this application, I hereby transfer full ownership, right and responsibility of the dog to Just Giants Rescue, Inc. at the time that my surrender appliacation is approved. I understand that after such date I shall have no interest or right to the dog and all decisions regarding the dog shall be made at Just Giants Rescue Inc.’s sole discretion. I further understand that I am not eligible to adopt the surrendered dog back from Just Giants Rescue Inc.
By checking the Liability Release & Waiver and submitting this application, I accept this waiver and release Just Giants Rescue Inc.. from any and all liability. I am certifying that all the answers I have given are the truth. I also understand that this information might be shared with another rescue group if they call Just Giants Rescue Inc. to inquire about the listed applicant(s).

Medical Release

By checking yes to the Medical Release box and submitting this application, I certify that the information I am about to provide is true and correct. Additionally, I agree to call my veterinary clinic and give permission for the release of my pet’s medical records to a representative of Just Giants Rescue, Inc.

YesNo

Release of Pet Ownership

By checking yes to the Release of Pet Ownership box and submitting this application, I hereby transfer full ownership, right and responsibility of the dog to Just Giants Rescue, Inc. at the time that my surrender appliacation is approved. I understand that after such date I shall have no interest or right to the dog and all decisions regarding the dog shall be made at Just Giants Rescue Inc.’s sole discretion. I further understand that I am not eligible to adopt the surrendered dog back from Just Giants Rescue Inc.

YesNo

Liability Release & Waiver

By checking yes to the Liability Release & Waiver and submitting this application, I accept this waiver and release Just Giants Rescue Inc.. from any and all liability. I am certifying that all the answers I have given are the truth. I also understand that this information might be shared with another rescue group if they call Just Giants Rescue Inc. to inquire about the listed applicant(s).

YesNo

Is there any other helpful information we should know about this dog apply for surrender?

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. Please note that some organizations have higher age requirements and may require applicants to be 18 or 21 years of age or older. Be sure to review the specific instructions and eligibility requirements for each application carefully before applying.

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

Save Progress