Dog Surrender Form Please fill out the form below to surrender your dog. We will contact you with next steps. Dog Surrender Form * Name First Last * Email * Phone * Dog Name * Breed * Age * Sex Male Female * Is Your Dog Spayed or Neutered? Yes No * Is Your Dog's Rabies Vaccination Current With Proof? Yes No * Is Your Dog's DHPPV Vaccine Current With Proof? Yes No * If over 6 years old, has a dental cleaning been done? Yes dental done No dental work Not over 6 * Has your dog bitten anyone? Please describe the situation if yes. * How much can you donate to AZSDR towards this dog's care? * Your dog is: good with small dogs good with large dogs not good with other dogs good with cats * How long has this dog been in your care? * Is your dog on any medications? Yes No If on medications please explain. * Reason for surrender? * Preferred Surrender Date * How did you acquire this dog Adopted from AZSDR Stray Adopted from another rescue Other If adopted from another rescue, which one and have they been contacted? If dog is a stray, please give details of where and when the dog was found, and if anything was done to locate the owners; ie: flyers, nextdoor site, craigslist, other lost dog sites * Please upload a photo of your dog Max file size is 33 MB. Spam folder Understood Thank you for filling out this form. You may need to check your spam folder for our response or other folders in your email.