Owner Surrender Questionnaire
Complete this form for surrender of a DOG to Cherokee County Animal Shelter
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First Name *
Last Name *
Phone Number *
Dog's Name *
Breed *
Sex of Dog *
Spayed or Neutered *
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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.
Does this pet have any medical conditions or previous injuries? *
If yes to the last question, please explain
Has this pet ever bitten a person or other animal? *
If yes to the last question, please explain
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?
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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? *
Has your dog ever lived in a home with cats? *
Is your dog microchipped? IF yes, have you contacted your alternate contact on the chip in reference to rehoming this pet? *
Tried rehoming to alternate contact
Is your dog fearful of....
Does this pet have any behavior issues or destructive tendencies? *
If yes to the last question, please explain
Have you tried to rehome your pet? *
How long have you been trying
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Any other ADDITIONAL NOTES that you would like to share with the staff about your pet:
If you are surrendering this pet due to behavior issues, is it your intent that it be euthanized?
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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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