BAR Surrender Form-bullarabrescue

Dog's Name

Dog's Approximate Age

Dog's Date of Birth (if known)

First Name

Last Name

Address

Phone Number

Email Address

How does the dog interact with children

Very well

Older children only

Never been introduced to children

How does the dog interact with other dogs of the same sex?

How does the dog interact with other dogs of the opposite sex?

How does the dog interact with other dogs that are bigger than them?

How does the dog interact with small/tiny dogs?

How does the dog interact with cats?

How does the dog interact with a foal or livestock?

Do they require specific height fencing?

4 ft (doesn't jump)

5 ft

6 ft (standard height)

8 ft (high jumper)

Does the dog dig?

Yes

No

Does the dog chew destructively?

Yes

No

Does the dog try to escape?

Yes

No

Does the dog suffer any separation anxiety?

Yes

No

Has the dog attended obedience training classes?

Yes

No

What commands does the dog respond to?

If other, please specify.

Where does the dog currently sleep?

Inside

Kennel or Enclosure

Outside

Where does the dog currently spend a majority of their time?

Inside

Kennel or Enclosure

Outside

Does the dog currently get left alone for periods longer than 10-hours?

Yes

No

Have you sought training to try and rectify the dogs behaviour to prevent you from having to surrender?

Yes

No

If no, why not? (Please provide details)

Do you have any friends or family who could care for or foster the dog while you search for different accommodation if requiring to move?

Yes

No

Is there a time frame in which the dog needs to be rehomed?

Yes

No

If yes, please provide a date?

Please provide a short reason why the dog needs to be rehomed.

If not, are you able to continue caring for this dog whilst we try and rehome?

Yes

No

Date of last C5 injection?

Can you provide a copy of the vaccination record?

Yes

No

Is the dog desexed?

Yes

No

If the dog is female, do they have an ear tattoo, or proof of desexing?

Yes

No

Is the dog microchipped?

Yes

No

If yes, what is the microchip number?

Date and Brand of last Prevention Medications for Worms/Heartworm/Fleas/Ticks?

Does the dog have any of the following?

If other, please provide details

In a few words, describe the personality of the dog

I confirm that I am the present legal owner at the time I sign this surrender form and I am legally entitled to surrender this dog to the rescue. I understand I can be liable for a surrender fee.
I agree and understand that I am giving up all rights of possession and ownership of this dog, and that I will not be able to redeem said dog at any time, nor will I be allowed to know the dogs where a bouts, unless under agreement with the dogs future foster carer/owner.
I further agree and understand to having the dog assessed by a reputable behaviour consultant prior and that Bull Arab Rescue will also undergo an independent evaluation of this dog prior to agreeing to determine whether or not the dog being surrendered will be considered “adoptable”.
I agree and understand that said once signed, the dog is now “sole property” of Bull Arabs the Pawfect Companion and/or new owner.
I promise that the information I am giving is accurate and that Bull Arab Rescue will not be held liable or chargeable for any false information or misrepresentations that I may have submitted on this form.
I also sign this honestly and state truthfully that this animal has never bitten any human being, and that this dog is not registered as a nuisance or dangerous dog with any council.
I shall willingly complete all change of ownership documents for the microchip to be changed over to Bull Arab Rescue.
I understand all vet records, training and assessment paperwork be available to Bull Arab Rescue prior to signing agreement

By submitting this application, I have considered all aspects of surrendering this dog to Bull Arab Rescue and that I have no further options.

I hereby agree to the terms of this agreement

I do not agree with the terms of this agreement

Print Name

Signature

Date

Please upload a copy of the following documents.

Photos of the Dog

Vaccination Certificate

BAR Surrender Form

DOG'S DETAILS

CURRENT OWNERS DETAILS/SURRENDER

TELL US ABOUT THE DOG

TELL US MORE ABOUT THE DOGS CURRENT LEVEL OF TRAINING

TELL US MORE ABOUT THE DOGS CURRENT LIVING CIRCUMSTANCES

FURTHER INFORMATION

MEDICAL INFORMATION