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(*)

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Street Address

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Phone Number(*)

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City(*)

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State(*)

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Zip Code(*)

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

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Have you ever surrendered a dog before?(*)

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If yes please explain any previous surrenders

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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

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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?(*)

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How long have you had the dog?(*)

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DOB (can be approximate)(*)

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Weight (can be approximate)(*)

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Breed(s)

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BASIC INFO

Where does the dog normally sleep?(*)

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What food is the dog eating currently?(*)

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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.(*)

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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?(*)

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PHOTOS

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

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Signiture(*)

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date

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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).

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HART Owner Surrender Form - Dog

Information

QUICK LINKS

Company

Homeless Animal Rescue Team of Cincinnati