Dog/Puppy Surrender Information Form

Name *
Phone *
Please provide the following information about the pet you wish to surrender:
Gender *
Spayed/Neutered *
Please provide us with your vet information:
Vet Phone Number
Vet Phone Number
Was this pet previously adopted from AOH?
Where did you get this animal (if not through AOH) and how long have you had him/her?
Is this pet crate trained?
Is he/she potty trained?
Does he/she have any accidents in the house?
Do you restrict him/her area in the house?
How is this pet..
Has this pet had any formal obedience training?
(buckle collar, snap collar, choke collar, etc.)
How does he/she behave...
Has this pet shown any aggressive behaviors? *
Has this pet bitten anyone before? *
(food, bones, toys, etc.)
By completing and submitting this form:
• I hereby certify that I am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this Animal Surrender Form, herein after referred to as “the animal.” • I hereby surrender any and all property rights to the animal. • I certify that no other person has a right of property to the animal. • I understand that by surrendering my property rights to the animal, the animal will become property of Angel of Hope Animal Rescue and will not be returned to me. • I also hereby certify that the animal has not bitten or scratched a human or another animal within the past 10 days. • I have disclosed any behavioral and health issues for the listed animals. • I further certify that I have read and understand the terms of this Animal Surrender Form. I agree my electronic signature is the legal equivalent of my manual signature on this Application. By selecting "I Accept" I consent to be legally bound by this Application's terms and conditions.
"I Accept" *
Date of Application *
Date of Application