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Home
About
The Breed
- I am Dachshund
- Resources
Wen’s Dogs
Get Involved
- Donate
- Foster
- Volunteer
- News & Events
- Contact Us

To Surrender your Dog

There are many different reasons you might need to surrender your dog.

It is never an easy thing to do or even consider. Please know we are here to help you through this process in a non-judgmental way.

We have an experienced Surrender Coordinator who will help you determine if this is the right decision for you, and for your dog.

If you decide in the end that this is best, your dog will be placed in a loving and supportive foster home based on the needs of your dog.

Please contact us for more information or complete and submit the Surrender Form below.

Surrender Form

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General Information

Please note that all fields are required. If there is a field that you does not apply, please enter "N/A" in the field.

Today's Date:(Required)

DD slash MM slash YYYY

Pet's Name:(Required)

Registration (if applicable):(Required)

Microchip Info (company & registration number):(Required)

Breed:(Required)

Colour and Coat Type:(Required)

Distinguishing Marks:(Required)

Date of Birth:(Required)

Breeder (if known):(Required)

Where Obtained:(Required)

Surrendering Owner's Name (include all co-owners):(Required)

Address(Required)

Street Address City Province Postal Code

Cell Phone and/or Home Phone:(Required)

Email(Required)

Why are you giving this dog up for adoption?(Required)

Veterinarian Information

Veterinarian Name:(Required)

Veterinarian Address:(Required)

Veterinarian Phone Number:(Required)

Date of Last Check-Up:(Required)

Last Vaccinations:(Required)

Rabies:(Required)

Heartworm Check:(Required)

Due Date for Vaccinations and Heatworm Check:(Required)

Name of Heartworm Preventative:(Required)

Name of Flea/Tick Preventative Program:(Required)

Medical History

Please check any applicable conditions or ailments this dog has had in the past or may be experiencing now:(Required)

Spayed

Neutered

Allergies

Mites

Fleas

Ticks

Eye injury/issue

Spinal injuries/episodes

Urinary Tract Infection

Weak bladder

Bowel issues

Previous illness/diagnosis

Does this dog require medication for any temporary or ongoing problem?(Required)

Personality (give us some indication of this dog's personality ie. dominant/submissive, etc):(Required)

Are you aware of any other conditions/diseases/illnesses that this dog currently has or may have had in the past?(Required)

Please explain any checked boxes from above, as needed.(Required)

Does this dog require medication for any temporary or ongoing problem?(Required)

Personality (please give us some indication of this dog’s personality. Example: dominant or submissive, happy-go-lucky, sweet & cuddly, etc)(Required)

Do you have other pets in the home? If yes, how do they get along? List their name, age, species, and a description of them.(Required)

Behaviour

Is this dog (select all that apply):(Required)

House trained

Pee pad trained

Crate trained

Baby-gate trained

Where does this dog spend the day?(Required)

Runs free inside the house

Confined to a room (which room?)

In the yard (fenced/in a dog run/free to roam

In a crate

Has access to a doggie door

Other

Explanation for where does this dog spend the day:(Required)

How many hours a day is your dog left alone?(Required)

To your knowledge, has your dog ever bitten anyone?(Required)

Yes

No

If yes, please provide details of the incident and whether or not charges were laid.(Required)

Does your dog suffer from separation anxiety?(Required)

Yes

No

If yes, please let us know how they express their anxiety. Example: crying, barking, destructive behaviour, etc.(Required)

Diet/Feeding Information

Name of current food:(Required)

Amount fed at each meal:(Required)

How many times a day:(Required)

What times:(Required)

Type of food (select all that apply):(Required)

Kibble

Canned

Raw

Homemade

Miscellaneous - Special Likes / Dislikes

Does your dog like/dislike any of the following:(Required)

Grooming

Brushing teeth

Nail clipping

Baths

Petting

Being picked up

Riding in the car

Walks

Other dogs

Cats

Small animals

Children under age 6

Older children

Men

Women

Explanation(Required)

List of possessions transferred with this dog:(Required)

Is there any further information you would like to include?(Required)

Consent(Required)

I agree to the following release agreement.

I confirm the owner of the animal known as ______________________ is _______________________ (please list ALL people with an ownership interest in the animal). I confirm, to the best of my knowledge, the person(s) listed is/are the only people with an ownership interest in this animal.

As the owner(s) of this animal, I hereby relinquish all present and future rights and claims to this animal, known as __________________________ and possessions transferred with it to Wendal's Way Dachshund Rescue. I certify that I have fully informed the individual(s) and/or organization(s) above of all known or suspected problems and concerns about this animal. Further, I have indicated all information possible to ensure the animal’s continued happiness and welfare. I understand that I may not be provided with information about this animal’s whereabouts.

_______________________ (owner name) hereby agrees to indemnify Wendal's Way Dachshund Rescue, its respective subsidiaries and agents against any and from all claims including but not limited to, liability, demands and causes of action arising from or related to any loss, damage, punitive damages, reasonable legal fees and costs whatsoever which result from the surrender of ____________________ (animal name) to Wendal's Way Dachshund Rescue on __________________ (date).

As surrendering owner, to the best of my knowledge, any behaviours and/or medical issues listed above, should not make this dog unsuitable for a family pet.

If completing this form online, by typing your name on the signature line, you are legally surrendering your dog into our care and accepting all terms set out in this release.

Signature(Required)

Name

This field is for validation purposes and should be left unchanged.

Charity Registration #: 76409 1229 RR0001

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Wendal’s Way Dachshund Rescue

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