Dog Surrender Request Form
★ Please note that this form is only a request and we cannot guarantee placement.★

Surrendering your dog into our care requires a minimum fee of $100.00 CAD.

Why do we ask for a surrender fee? Your surrender fee goes towards providing food and general care to our dogs, including veterinary care such as vaccinations, treatment, medication and required surgeries. The Alberta Animal Rescue Crew Society is a non-profit organization who is not government funded and solely relies on donations from the public in order to operate.

Animal Information
Dogs Name: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Sex: *
Breed: *
Your answer
Size: *
Spayed or Neutered? *
Up-to-date on Vaccines? *
Microchip or Tattoo? *
If Yes, Tattoo/Microchip #:
Your answer
Where did you get this dog? *
Your answer
How long have you had this dog? *
Your answer
Reasons for surrendering your dog? *
Your answer
What is your timeline for surrendering your dog? *
Your answer
Any health concerns? *
Your answer
Behaviour Concerns
Please be as detailed and honest as possible.
Has this dog ever nipped or bit? *
If yes, what was the last bite incident date?
MM
/
DD
/
YYYY
Sex of person involved?
Please describe the bite-site:
Your answer
Number of Additional Bites?
Your answer
What is the most damage your dog has ever inflicted on a person? Did they require medical attention?
Your answer
Have you observed any triggers for this dog’s aggression/reactivity?
Your answer
Describe any incidents with your children where the dog demonstrated aggression but may not have bitten:
Your answer
Has this dog ever fought with another dog? How many fights have there been? Did either dog need to see a vet?
Your answer
1st Fight Incident
(if applicable)
Breed:
Your answer
Sex:
Describe any physical damage inflicted:
Your answer
Basic Behaviour Information:
Please be as detailed and honest as possible.
Have you ever taken your dog to see a trainer? *
If yes, Name of Trainer/Service? For How Long?
Your answer
Pick the Best Description of Dog
Please select at least one or use other to describe in your own words.
Collar Grab: *
Handling/Interaction *
Kids *
Dogs: *
Leash Work and Walks: *
Cats: *
Prey Drive (birds, squirrels, rabbits etc.) *
Resource Guarding - Food *
Confinement Training *
Separation Anxiety *
House Training *
Are there any triggers that you have found that startle, scare or upset your dog? *
Your answer
Are there any requirements we should look for in an adoptive home for your dog? (ie: needs another dog, active home etc.) *
Your answer
Is there anything else you would like us to know about your *
Your answer
Owner Information
Your Full Name: *
Your answer
Your Email Address: *
Your answer
Your Phone Number: *
Your answer
Your Full Address: *
Your answer
I understand that the animal I am intending to surrendered will not be returned or adopted back to me for any reason. *
Required
I understand that surrendering my dog into AARCS care requires a minimum fee of $100.00 CAD. *
Required
Please click SUBMIT below to complete this process.
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