Owner Surrender Questionnaire
Complete this form for surrender of a DOG to Cherokee County Animal Shelter
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Dog's Name *
Your answer
Breed *
Your answer
Sex of Dog *
Spayed or Neutered *
Age
Puppy
Adult
Why are you surrendering your pet? *
Where did you get your pet?
Current on Vaccines? *
What is the name of the last vet your pet visited? ***Please bring any medical records you may have.
Your answer
Does this pet have any medical conditions or previous injuries? *
If yes to the last question, please explain
Your answer
Has this pet ever bitten a person or other animal? *
If yes to the last question, please explain
Your answer
Where did your dog spend most of it's time? *
Is your dog housebroken? *
Is your dog crate trained? *
What type of food does this pet eat?
Has your dog ever been around other dogs? *
Does your dog play well with other dogs? *
Has your dog ever lived in a home with children? *
Is your dog fearful of....
Does this pet have any behavior issues or destructive tendencies? *
If yes to the last question, please explain
Your answer
Have you tried to rehome your pet? *
How long have you been trying
Day
Days
Any other ADDITIONAL NOTES that you would like to share with the staff about your pet:
Your answer
Do you understand that when you surrender this animal to us that it is highly possible that we will have to euthanize this animal (put it to sleep)? *
Your submission will be sent to the intake department of Cherokee County Animal Shelter. You will receive a link to make an appointment after you submit your form.
131 Chattin Drive Canton Georgia 678-493-4387
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