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Surrender

Dog's Information
Reason for surrendering your dog
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Dog's Name
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Date of Birth (MM/DD/YYYY)
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Owner's Information
Owner's Name (first & last)(*)
Required - please enter your name

Owner's Phone Number(*)
Required - please enter phone number (123-123-1234)

Owner's Email Address(*)
Required - please enter a valid email address

Owner's Mailing Address
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City / Town
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State
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Veterinarian Information
Veterinarian Name:
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Veterinarian Address
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Veterinarian City
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Veterinarian State
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Veterinarian Phone Number
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Date of last visit
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Reason for last visit
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Medical Information
Date of Spay / Neuter
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Shot History - Dates
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Blood Work - Dates
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Monthly Preventive (date)
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Known Medical Issues
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Medications
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General Information
Is the dog an indoor or outdoor dog?
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Why?
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Where is the Dog during the day?
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Where is the Dog during the night?
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Training: Basic Obedience?
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Known Commands (example: Sit, Stay, Down, Off, Leave it, Enough, etc)?
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How often is the dog walked Daily?
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What type of collar (Nylon, Choker, Pinch/Prong, Gentle Leader)?
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What type of leash (Nylon, Leather, Chain, Extendable)?
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Trusted in the yard? Trusted off leash? Manners?
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Easy to walk? Pulls on a leash?
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Crate Trained?
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Potty trained?
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How many hours can the dog hold it?
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Trustworthy in the home?
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How long?
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Accidents?
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Destruction?
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Where does the dog potty?
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Yard or leash walks?
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Any guarding, barking, lunging, growling, jumping, etc while in the yard?
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Feeding: What kind (brand) of food? Wet? Dry? How much? How often?
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Good with People?
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Any known aggression towards: Men? Woman? Uniform ? Hats?
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Exposed to Children?
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If so, what ages?
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Any dominant or aggressive behavior towards children? (describe fully)
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Reaction when meeting new people? In the home? Outside? Any barking, lunging, growling, jumping?
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Reaction to meeting new dogs? Inside the home? Outside? Any barking, lunging, growling, jumping?
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Playdates with other dogs outside of the home?
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If so, what types of dogs?
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Reaction to cats?
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Car/truck Rides? Easy to get into and out of the car? Enjoys rides? Carsick?
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Grooming: Water? Enjoys a bath? Outside or In a tub? Brushing? Toe Nails? Blow Dryer?
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Enjoys going for a swim? Inground or Above Ground Swimming Pool? Stream/Lake?
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Any Bite History? (describe fully)
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Please send up to date pictures (current) of your dog (only) taken inside and outside - headshot, full body
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Please send up to date pictures (current) of your dog (only) taken inside and outside - headshot, full body

Additional Picture
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Additional Picture
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As soon as I have ALL of the above information and pictures of your Saint, I can setup a day/time to meet you and your Saint. There is NO charge to you for surrendering your Saint to Saint Bernard Rescue but we do accept donations to help offset some of the costs of caring for our special Saints while they await their forever families.
Donation for fostering
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Choose

Total
0.00 USD

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