ANGELS for ANIMALS
DOG SURRENDER FORM
Please read the below information before completing this form.
**If you are needing to return a dog that you adopted from Angels for Animals, you do NOT need to fill out this form. Please call 330-549-1111 and ask to speak to one of the Dog Managers. We accept any of our adopted dogs back at any time.**
Following is information regarding our dog intake policies. SUBMITTING THIS FORM DOES NOT AUTOMATICALLY PUT YOUR DOG ON THE "WAITING LIST" - PLEASE READ THE POLICIES BELOW CAREFULLY!
Angels for Animals does not euthanize animals to make room for other animals. Adoptable animals are at the shelter until they find a permanent home or move into a foster home, which may be a matter of weeks or even months. Therefore, we are almost always "full" and space for incoming dogs is limited. Because of these factors, we are seldom able to admit dogs on a walk-in basis or with short notice. In general, we are more often able to help people who have given themselves time to find their dog a new home than those who need to "get rid" of the dog today. We understand it is important to you to place your dog into a facility that does not euthanize for space. However, if you are unable to wait for available space, please know that there are other options.
Some dogs, seniors in particular, often do poorly in shelter settings. These animals can decline quickly in health and behavior in a shelter environment. They are usually the last to be considered for adoption, making their shelter stay longer and continuing the decline. We ask that people seriously consider the negative effects that a shelter environment can have. Our Dog Manager will be happy to discuss these issues and other options with you.
The first step in the surrender process is to complete this form. Please answer all questions and with as much detail as possible. Our Dog Manager will review your information and determine if your dog is appropriate for our adoption program. Please understand we receive MANY requests to take in dogs every day and are unable to accomodate everyone. Be sure and provide us with a working email address as we may contact you by email.
If the Dog Manager believes your dog may be a candidate for our adoption program, you will be contacted to schedule a Surrender Appointment. At that time, you will bring the dog to Angels for Animals along with any veterinary records. The Dog Manager will evaluate your dog's behavior and our medical staff will heartworm test the dog. The dog must be both heartworm negative and behaviorally adoptable for us to accept him into our program. All intake decisions are at the sole discretion of the Dog Managers.
We ask for a donation of $75 help offset the costs associated with vetting and caring for the dog while at the shelter. It costs us several hundred dollars to get a dog ready to be adopted and nearly $10 PER DAY to care for each dog here at the shelter. If you are unable to make that donation, please still fill out this form and we will try to work with you. Our first concern is the dog!
If we have space available, we will take the dog in. If we do not have space your dog will place on the waiting list, you will be advised of the approximate entry date into the shelter, and you will be asked to keep your dog until a kennel is available.
As stated above, not all dogs can be accepted into Angels for Animals shelter. If your dog does not pass our behavior evaluation or is heartworm positive, we cannot take your dog and we will suggest other options such as private placement, breed rescue, or the county dog pound.
Dog's Basic Information
Breed / Breed mix (example: Lab / pit mix)
If you are unsure of your dog's exact age, enter your best guess.
Sex of dog?
Is your dog spayed or neutered?
Reason for relinquishing / surrendering the dog
Please be as specific as possible.
How long do you have until you must place the dog?
How long have you owned this dog?
Has the dog ever bitten a person? If yes, what were the circumstances surrounding the bite?
Has the dog ever bitten or gotten into a fight with another dog? If yes, what were the circumstances?
Where did you obtain this dog?
Ad in newspaper
Friend / relative
Found as a stray
From a breeder
Bred the dog myself
Are you the dog's owner?
If no, who is?
Dog's Health Information
Name and phone number of Veterinarian
Is this dog current on his/her vaccinations?
I don't know
Do you have the vet records to prove this dog is current on his/her vaccinations?
When was the dog's last veterinary check-up?
Within the last month
Within the last 6 months
Within the past year
The dog has never been to the veterianarin
I don't know
Has your dog been tested for heartworm?
Yes, the test was negative
Yes the test was postitive
No my dog has not been heart worm tested
Does this dog have any medical problems? (check all that apply)
Eye / vision problems
None of the above
Is this dog on any kind of medication?
Has this dog displayed any of the following symptoms in the last 10 days?
Eye or nose discharge
None of the above
Dog's Behavior Information
Does this dog have any experience with children?
Yes, lived with kids
Visited by kids regularly
Infrequent contact with kids
Never been around kids
Has had a bad experience with kids
Would you recommend this dog live with children?
Yes, kids of all ages!
Older kids only
Should not live with children
Is your dog housebroken?
How does this dog get along with other dogs?
Loves other dogs!
Is okay with other dogs
Is aggressive with other dogs
Is afraid other of dogs
I don't know
How does this dog get along with cats?
Fine, can live with cats
Will chase them but just wants to play
Will harm or kill a cat
I don't know
Does this dog have any fears?
Thunderstorms and/or loud noises
List any commands this dog knows (i.e. sit, come, etc)
Does your dog have any behavioral issues?
Escaping from yard/running away
Jumping on people
Possessive of food, bones, or toys
Pulls on the leash
None of the above
Provide any additional information about the dog which would assist us in placing him/her into a more appropriate home.
I understand completion of this form does not guarantee admittance of my dog into Angels for Animals' adoption program. By my electronic signature, I swear I am the legal owner or am legally authorized to surrender this animal. By my electronic signature, and upon my delivery of this animal to Angels for Animals, I hereby surrender all my interest in this animal to Angels for Animals. I understand decisions regarding this animal, its care while sheltered, and placement into an appropriate home will be at Angels for Animals' discretion. I understand I have no recourse in these decisions.
Yes I understand
No I do not understand
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua & Barbuda
Bosnia & Herzegovina
British Indian Ocean Territory
British Virgin Islands
Central African Republic
Cocos (Keeling) Islands
Congo - Brazzaville
Congo - Kinshasa
French Southern Territories
Heard & McDonald Islands
Hong Kong SAR China
Isle of Man
Macau SAR China
Northern Mariana Islands
Papua New Guinea
São Tomé & Príncipe
South Georgia & South Sandwich Islands
St. Kitts & Nevis
St. Pierre & Miquelon
St. Vincent & Grenadines
Svalbard & Jan Mayen
Trinidad & Tobago
Turks & Caicos Islands
U.S. Outlying Islands
U.S. Virgin Islands
United Arab Emirates
Wallis & Futuna
Alternate Phone Number
Do Not Fill This Out