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 *

Is your dog fixed? *

Why are you surrendering your pet? *

Where did you find this dog? *

Is your dog a rescue? *

Yes No

If you answered yes to the above question, which rescue did you adopt from? *

How long have you owned your dog? *

Is your dog UTD on vaccinations? Please list all that apply. *

Is your dog microchipped? *

Yes No

Can you provide the vet records and vet history at time of intake? *

Max file size: 20MB

Have you made a post on any social media platforms to re - home your dog? If so please copy and past link here to share on our media outlets. *

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.

INFORMATION:

$75 Surrender Fee.

Owner Surrenders are added to our intake list and a committee will review your submission before accepting any dog.

Please note that owner surrenders will NOT be chosen above a stray or abandoned dog on our list. We will help re-home your dog by sharing information and pictures you have submitted.

If we find an adopter before the dog is accepted into our kennel, we will require a $50 facilitator fee.

We have other rescues we can reach out to if we cannot accept your dog. Please allow us up to 10 days to properly place and find a suitable solution for your dog.

DO NOT dump your dog. It is ILLEGAL!!! BARK has resources to help you with the dog during this process, such as food, vetting and other needs.

Kennel life is not a place for a dog who has been in the home and used to a certain home lifestyle. Please give yourself at least 30 days to re-home or find a foster to step up. We will use all media outlets such as Facebook to help adopt your dog. If you have any more questions, please call us at 254-675-1954.

We are volunteers and we try to work swiftly as we understand your urgency.

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