Animal Surrender / Intake Request
Thank you for seeking a safe way to rehome your dog or stray animal. We receive many requests weekly for pet surrenders, and our currently response time is between 1-2 weeks. From there we will set up a meeting with you and your pet, to make sure we can safely find a great home for your pet. Lastly we will set up a date for your pet to be relinquished to our program.

If there is anything we can do to help you keep your dog, please let us know!

Name: *
Your answer
Phone Number: *
Your answer
Email: *
Your answer
Your Address: *
Your answer
Dog's Name: *
Your answer
Dog Breed: *
Your answer
Dog Colors: *
Your answer
Dog Age: *
Dog's Approximate Weight: *
Is Your Dog Spayed or Neutered? *
Are you able to provide current vaccination records for your dog? *
Where did you get the dog? *
If adopted, what rescue/shelter?
Your answer
Kennel trained? *
House trained? *
Socialization? *
Does the dog get along with (mark all that apply):
Dogs
Some Dogs
Cats
Children
Birds (chickens, ducks)
Row 1
Tell us about your dog's personality? *
Your answer
Does your dog have any known health issues? *
Why do you want to surrender your dog? *
Your answer
Is there anything we can do to help you keep your dog rather than surrendering? *
Your answer
Please consider making a donation at www.paypal.me/lucky13rescue.
Your answer
After submitting this form, we will need photos emailed to info@lucky13rescue.org or messaged to us on Facebook at www.facebook.com/lucky13rescue in order to help.
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