Surrender Questions – Love a Golden Rescue

It is especially useful if you provide the following information on the form below. If you wish to physically print out the form for manual completion (only) please CLICK HERE.

Your Name

First

Last

Your Best Phone Number

Dog's Name

Location of Dog

Address Line 1

Address Line 2

City

State

Zip Code

How old is the dog?

How did you get the dog?

Is the dog a pure-bred Golden Retriever?

Is the dog spayed/neutered?

Is the dog male or female?

Is the dog potty trained?

Why do you wish to surrender the dog?

Does the dog get along with new people?

Does the dog get along well with other friendly dogs?

Does the dog get along well with cats?

Has the dog ever bitten or seriously threatened to bite anyone?

Has the dog been in any dog fights?

Does the dog let you take food and toys away?

Does the dog live inside or outside?

Is the dog up to date on shots?

On heartworm preventative or on any other meds? Be specific.

preventative date File

Does the dog have any known medical conditions?

Does the dog have any bad habits?

How long can you keep the dog if we must put the dog on a waiting list?

How did you hear about Love a Golden Rescue?

Is there anything else we should know about the dog?

Can a picture of the dog be emailed or mailed?

Pictures File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Can you e-mail vet records?

Vet File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.