Relinquish a Dog

Name of Dog

Age

Breed (or mix)

Size (weight, height, general size)

Sex

Is your dog spayed (females) or neutered (males)?

If female, is this dog known or suspected to be pregnant?

If female, does this dog currently have puppies?

Is your dog up to date on vaccinations?

Where do you take your dog for veterinary care?

Does your dog have any medical issues or health concerns?

Is your dog on any medication(s) or do they need any medication(s) for vet appointments? If yes, list them.

If your dog has a microchip, please list the brand and ID number. You can also say "I don't know the number".

Is your dog housebroken?

What is your dog’s activity level and how much exercise does your dog need/want?

How does your dog do on and off leash?

Does your dog need a fenced yard?

Where does your dog sleep at night?

Where does your dog spend the day?

How long is your dog alone during the day?

How is your dog with other dogs?

How is your dog with cats?

How is your dog around livestock (does he/she chase, etc.)?

How is your dog with kids?

Does your dog have any behavioral or dominance issues?

Does your dog have any training or know any commands?

Does your dog have any bite history with people or animals ?

Share anything cute/appealing/special about your dog's personality

When/where did you get this dog?

Why are you giving up this dog?

Please provide more details around the reason why you are giving him/her up. *

What is your timeframe for finding this dog a new home? *

Is it okay to share your name and phone number with another rescue, if we are unable to help you?

Where did you hear about relinquishing your dog to AHS?

Anything else you would like us to know?

I would like to:

Please add a photo of the pet(s) you are looking to relinquish.

If AHS is able to accept the dog(s), what is the best phone number to reach you?

I acknowledge that by submitting this form I give the Alternative Humane Society permission to contact me regarding the relinquishment of my dog. It does not guarantee that AHS will be able to assist.