Surrender Form

Request for Rescue Assistance

Please provide as much information as possible. Fill out the form completely. If the question does not apply to your situation, put N/A or select N/A in the dropdown boxes.

* Indicates required field

Are you the legal owner of this dog(s), puppy, or litter of puppies? *

If you are not the legal owner, how did you learn about this dog/puppies? Type N/A if this does not apply. *

Your Name *

First

Last

Your Email *

Your Phone Number (include area code) *

Your Address *

Line 1

Line 2

City

State

Zip Code

Country

Your County of Residence *

Dog Information

Which BEST applies to this situation? *

NUMBER OF dog(s) or puppies needing rescue? *

NAME(s) of dog(s)/puppy needing rescue. Put LITTER if asking for assistance with a litter of puppies. *

GENDER of dog/puppy needing rescue. If referring to a LITTER, be specific if possible. (example: 3 males/2 females) *

AGE of dog(s) needing rescue. For puppies, provide date of birth if known. Type UNKNOWN if not certain. *

How long has this dog/puppy/puppies (needing rescue) been in your CARE? *

BREED or breed mix of dog/puppy/litter needing rescue, if known *

SIZE of dog(s), puppy/litter (needing rescue) *

TELL about PERSONALITY and TRAINING of the dog(s) needing rescue. (example: friendly, playful, house trained, walks on leash, etc) *

TELL about this dog(s) REACTION to people? Strangers? Children? Men? Women? If not known, please indicate that you DO NOT KNOW. *

TELL about this dog(s) REACTION to other animals? small dogs? large dogs? cats? If not known, please indicate that you DO NOT KNOW. *

To help find the BEST FOSTER HOME and FOREVER HOME home for this dog, PROVIDE ANY additional information that will help us to safely place this pet. Examples-(1) Only lived as an outside dog (2) Escape Artist /Risk to Run Away (3) High Anxiety (4) House trained (5) Crate trained (6) Walks on a leash (7) Scared, timid or shy. *

Please tell what VETTING this dog/puppy/litter has had, if known. (spay/neuter, vaccines, dewormer, heart worm prevention or other) You may also put NONE or UNKNOWN *

Does this dog have a current RABIES vaccine? If possible, bring a copy of the rabies certificate *

Why does dog/puppy/litter need to be rehomed? *

How soon does this dog/puppy/litter need to be removed from your care? (Immediately? or approximate date) *

Are there other dogs that will remain in the home? *

How many dogs, remaining in the home, are unspayed or unneutered? *

Please provide photo if possible *

Max file size: 20MB

If surrendering a litter of puppies....

Answer the following questions or select N/A

Do you own the parents of these puppies? *

How many puppies are in this litter? (Put N/A if this does not apply to you) *

Have any puppies died, been given away or sold? Explain. *

Where have these puppies been kept? (inside of home? in a dog house? barn? under house? Please be specific) *

Choose the statement that best describes the eating habits of the puppies. *

When funds are available, The Maggie Society will offer to spay the mother dog if the whole litter of puppies is surrendered for rescue. We provide this service to help prevent future unwanted litters and help control the animal population in our community. If this service is offered to the surrendering owner, an appointment will be scheduled for spay. It is the responsibility of the owner to transport the dog to the appointment and restrict activity for the dog during the ten day recovery period. If the owner(s) is unable to follow through with the spay appointment, The Maggie Society may be unable to offer future assistance with other pets from this home.

Additional photos if available. *

Max file size: 20MB

My dog had puppies....

If you are asking for rescue assistance for a litter of puppies in which you are the owner of the mother dog, please read the statements below and select the response that applies.

Select One *

These statements do not apply to me. I have read the statement and understand that this litter of puppies may or may not be accepted into the Maggie Society program due to foster availability. I understand that the puppies may be placed on a waitlist if no foster is available. I understand that if I own the mother dog and have asked The Maggie Society for assistance in rehoming a litter of puppies, I am surrendering ALL puppies. In exchange, when funds are available, the Maggie Society will cover the cost of spaying the mother dog. It is my responsibility to get my dog to and from the spay appointment (as scheduled by the Maggie Society) and provide indoor care during my dog’s 10 day recovery period. If I choose to not spay my dog, The Maggie Society reserves the right to refuse further assistance with future rescue needs. I have read this statement and understand that the surrendered puppies MAY be accepted into the Maggie Society program, pending available foster homes or placed on a WAITLIST if no foster is available. I understand that because I AM NOT SURRENDERING ALL PUPPIES, funds may not be available to SPAY the mother dog. In the event that The Maggie Society is able to offer a discounted cost for spaying, I understand that it is MY RESPONSIBILITY to transport my dog to and from the spay appointment (as scheduled by the Maggie Society) and provide indoor care during my dog’s 10 day recovery period. If I choose to not spay my dog at the provided discount, The Maggie Society reserves the right to refuse further assistance with future rescue needs. I do not have the mother of this litter I do not want assistance with this litter

Consent to Dog Temperament Evaluation

Because The Maggie Society a foster-based rescue, we may not be able to offer rescue to EVERY DOG we meet. Safety of our foster families and their pets is PRIORITY. Before entrance into our program, the vet/rescue team will do a TEMPERAMENT TEST to
observe and evaluate the dog's attitude towards people and dogs. While our team understands that a dog may be nervous in a new environment, dogs that lunge, growl, snap, or bite at people or other dogs may not be a fit for our program. Dogs that are aggressive, have a bite history, or need to be "an ONLY dog" will not be a fit for our program.

After the vet/rescue team completes the evaluation, the next step is to place the dog into the right foster home. Our foster homes offer many dynamics and finding the right fit for our dogs is paramount to their success. The Maggie Society must have an open foster home for ANY dog we place into our program. If one is available, the dog may be placed immediately, but this does not always happen. A dog may be placed on a waitlist until the right foster home opens up.

Once a foster home becomes available and we are able to provide rescue for a dog approved for the program, the owner will be asked to deliver the dog to the Maggie Society and sign a Relinquishment of Rights form, often referred to as a "Surrender Form".

If you are seeking rescue for one or more dogs, please read the statements below and select the response that applies.

Choose One *

I have read the statements above and understand that my dog may or may not be accepted into the Maggie Society program. I give permission for my dog to be evaluated by the Maggie Society Vet/Rescue Team. I understand that if my dog is accepted into the rescue program and no foster is available, my dog may be placed on a waitlist. I do not think my dog will be a fit for this program. I no longer want rescue assistance.

Enter your full name, as a digital signature, in the box below. You will be asked to physically sign a copy of this form prior to dog evaluation. *

Today's Date *

Submit