Hart Animal Rescue - HART Surrender Form

OWNER SURRENDER FORM

Please answer the following questions about the dog you need to surrender. HART is a 100% foster based organization and the only way we can take in a dog is if we have a foster home for it to go to. Filling out this form in no way guarantees we can take your pup but helps us ask for a foster.
* INDICATES REQUIRED FIELDS

ABOUT YOU

Name(*)

Invalid Input

Street Address

Invalid Input

Phone Number(*)

Invalid Input

City(*)

Invalid Input

State(*)

Invalid Input

Zip Code(*)

Invalid Input

Email - you will be contacted via email from dogfoster@gmail.com(*)

Invalid Input

Have you ever surrendered a dog before?(*)

YesNo Invalid Input

If yes please explain any previous surrenders

Invalid Input

Have you attempted to find another home for the dog?(*)

YesNo Invalid Input

If yes please explain what efforts you have made to find another home for the dog

Invalid Input

ABOUT THE DOG(S)

Are you the owner of the dog you are requesting to surrender?(*)

YesNo Invalid Input

Where did the dog originally come from?(*)

Invalid Input

How long have you had the dog?(*)

Invalid Input

DOB (can be approximate)(*)

Invalid Input

Weight (can be approximate)(*)

Invalid Input

Breed(s)

Invalid Input

BASIC INFO

Where does the dog normally sleep?(*)

Invalid Input

What food is the dog eating currently?(*)

Invalid Input

Will you be providing anything with the dog (crate, bedding, food, treats and/or toys?)(*) We do ask that you at minimum provide 1 item that he uses to make the transition smoother.(*)

Invalid Input

FINANCIAL RESPONSIBILITY

All dogs must be up to date on vetting and spayed/neutered before we can list a dog up for adoption. If the dog is not currently up to date on vetting and spayed/neutered are you willing/able to pay the vet costs?(*)

YesNo Invalid Input

There is a fee associated with relinquishing a dog into HARTS care made to HART in the form of a donation. Are you prepared to make a monetary donation to HART?(*)

YesNo Invalid Input

PHOTOS

Please attach Photos of the dog(s) you are interested in surrendering. Without pictures we can not ask our fosters for help.

Invalid Input

Signiture(*)

Invalid Input

date

June

January

February

March

April

May

June

July

August

September

October

November

December

2025

1920

1921

1922

1923

1924

1925

1926

1927

1928

1929

1930

1931

1932

1933

1934

1935

1936

1937

1938

1939

1940

1941

1942

1943

1944

1945

1946

1947

1948

1949

1950

1951

1952

1953

1954

1955

1956

1957

1958

1959

1960

1961

1962

1963

1964

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

2025

2026

2027

2028

2029

2030

2031

2032

2033

2034

2035

2036

2037

2038

2039

2040

2041

2042

2043

2044

2045

2046

2047

2048

2049

2050

Su	Mo	Tu	We	Th	Fr	Sa
1	2	3	4	5	6	7
8	9	10	11	12	13	14
15	16	17	18	19	20	21
22	23	24	25	26	27	28
29	30	1	2	3	4	5

00:00

00:30

01:00

01:30

02:00

02:30

03:00

03:30

04:00

04:30

05:00

05:30

06:00

06:30

07:00

07:30

08:00

08:30

09:00

09:30

10:00

10:30

11:00

11:30

12:00

12:30

13:00

13:30

14:00

14:30

15:00

15:30

16:00

16:30

17:00

17:30

18:00

18:30

19:00

19:30

20:00

20:30

21:00

21:30

22:00

22:30

23:00

23:30

Invalid Input

Once you hit submit a thank you message will come up, you will also receive a thank you email to the email address provided. If you do not receive both of these then your form did not go through (for the thank you email please be sure and check your spam folder if you do not see it).

Invalid Input

HART Owner Surrender Form - Dog

Information

QUICK LINKS

Company

Homeless Animal Rescue Team of Cincinnati