Surrender

BARK Rescue Surrender Form

Use this form to provide information relative to the surrender of a dog to our rescue organization. This form can be used for both stray dogs and dogs where the owner is no longer able to take care of the dog.

Your Information

Use this section of the form to provide information about the individual(s) surrendering the dog or bringing a stray to our organization.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Dog Information

Use this section to provide information about the dog.

Dog's Name *

Breed *

Estimated Age *

Sex *

Spayed *

Where did you find this dog? *

How long have you had this dog? *

Personality

Use this section to provide information about the personality of the dog.

Has the dog ever bitten anyone? *

How long ago did the dog bite someone? *

Is the dog good with children? *

Is the dog good with cats? *

How does the dog respond to other dogs *

Has the dog ever injured or killed another animal? *

If , "Yes", please explain *

Was the dog in a fenced yard? *

Was the dog kept on a chain? *

Health Information

Use this section to share any known health information.

Does the dog have any known health issues? *

If the dog has health issues, please explain. *

Is the dog "House Broken"? *

Please understand that you completely give up the ownership and all rights to this animal when you surrender it to BARK. Once the animal is surrendered, BARK will decide if it can place the animal up for adoption or into foster care. All animals surrendered to BARK will be examined and determine health and placement of animal until suitable for adoption.

THERE IS NO FEE FOR SURRENDERING AN ANIMAL

Certification

Name *

First

Last

Pet's Name *

Today's Date *

Picture of Your Dog *

Max file size: 20MB

By submitting this form, you certify the information in this are true and correct to the best of your knowledge. You further certify you understand the terms of this Surrender Form.

Submit