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Owner Surrender Form

We know the decision to surrender your pet is a very difficult one — thank you for trusting our rescue with them. Please provide the following information so we can find the best placement for your dog.

Your Information

Full Name *

Email *

Cell Phone *

Street Address *

City *

Province *

Postal Code *

Photo of Your Pet

Please upload a clear photo of your pet to help us find the best foster placement.

Max file size: 10 MB. Accepted formats: JPG, PNG, GIF, WEBP.

Pet Information

Pet's Name *

Pet's Age *

Pet's Sex *

Male Female

Is the pet Spayed/Neutered? *

Yes No

Pet's Color *

How many years have you owned your pet? *

Please list date & name(s) of last vaccines *

Pet Behaviour

Is your pet good with other dogs? *

Yes No

Is your pet good with cats? *

Yes No

Is your pet good with kids? *

Yes No

Is your pet house trained? *

Yes No

Is your pet crate trained? *

Yes No

Are they an escape artist or runner? *

Yes No

Does your pet have any behavior issues? *

E.g. food aggression, separation anxiety, not house trained, reactive on leash, etc.

Please explain your reasoning for rehoming *

Acknowledgement & Signature

By signing this form, I state that I am the owner of the animal listed above or have found this animal as a stray. To my knowledge, no other person has any right to this animal.

Please note that Maddy's Mighty Mutts is strictly a foster based rescue. We will work diligently to find a foster home suited to your dog and will be in touch once we have a placement.

Signature (type your full name) *

Date (yyyy-mm-dd) *

I have read and agree to the Terms and Conditions

Maddy's Mighty Mutts

Dedicated to rescuing and rehoming dogs in need.

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