No Borders Animal Rescue Society (NOBARS)

Your surrender application will be submitted to our volunteer intake coordinator, who will get back to you within a few days. Please be aware that we’re a network of foster homes and volunteers without a shelter building, and with limited resources. We might not be able to take your dog into foster care – but there are always other options. We will help to post your dog on our sites to promote your dog, provided you work with us. Chances are good that you’ll receive a response

Date we request to have the dog removed from the home. (Please note, being a foster-based organization, we cannot guarantee any dog will be accepted into our program by any date).

Dog's details

Name

Age

Size

Breed

Gender

Is the dog spayed or neutered?

Personal Information

Name

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email

Are you the owner of the dog?

Reason for surrender

Give full details of why? Give full details of all training and all history.

Do you know the dog's vaccination record?

Has this dog seen a veterinarian?

Veterinarian's Name

Veterinarian's Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Veterinarian's Phone Number

Medical Problems

List all medical problems (If any). Give full details on all medical issues, allergies and vet visits. It is mandatory that we communicate with your veterinarian. Failure to provide accurate records or concealed/blatant misinformation will result in an automatic decline of surrender. Honesty is expected.

The type of food fed was?

Does the dog have any food allergies?

If yes, please describe.

Is the dog house trained?

Is the dog comfortable and relaxed in a crate?

How much time did the dog spend in a crate daily? The number of hours? Specific times eg. (9:00 am to 5:00 pm)?

Does the dog bark, whine, or howl when alone?

How was the dog trained?

Check all that apply.With treats and/or positive motivationWith verbal praiseWith leash correctionHas no training

List any formal training the dog has had. (Such as obedience, agility, fly-ball, search & rescue, extensive dog tricks, sit/stay/heal)

What are the dog’s favorite?

Check all that apply.FoodTreatsToysPraise

Any other favorites not listed?

Dog behaviors

Check all that applySleep in the houseSleep on the bed or furnitureRelax in the housePlays with toysPlays fetchRides well in a vehicleDoes tricksWalks well on a leash without pullingChews bonesMeets dogs on walks without pulling

Describe the dog's interactions with cats.

Describe the dog's interactions with small animals or any prey drive.

Has the dog been around other dogs?

How often does he/she meet with other dogs? How many dog friends?

How does the dog react upon meeting other dogs?

Check all that apply.BarksGrowlsLungesSnapsGoes berserkRaises hacklesFriendlyTail waggingPlayfulRolls overMust see other dogsCan't get close to other dogsDoesn't care about other dogsLoves other dogs

Has the dog been around children?

How is the dog around children?

Has the dog ever bitten or attempted to bite a person?

Does the dog have any fears?

Please be honest.

How does the dog react to strangers?

Check all that apply.BarksJumps upStays awayGrowlsHidesUrinatesExcitedHappyLoves strangers

Generally, describe the dogs nature.

Check all that apply.FriendlyOutgoingNervousBarkyNippyShyReservedSkittishConfidentBoldHas no fearsBullyPlayfulHappySadSteadyChallengingSmart

Does the dog have any problems in the following areas?

Check all that apply.House soilingChewsDigsProtects food or toysSnapsGrowlsBitesOver excitedBarksClimbs fencesPulls on leashJumps upLungesEscapes the yardChases vehicles/bikesSeparation anxietyExcessive barking

Please describe any unique personality traits of the dog. Be specific and honest.

Photo Upload Please upload 3 high quality photos of your dog after renaming the file with dogs name. side views and front forward. Do not take from above.

Photo Upload Accepted file types: jpg, png, jpeg.

File Upload Please upload a high-quality scan of veterinarian vaccination records. Accepted file types: jpg, png, jpeg.

Submit By submitting this form, I declare that I am the owner of the dog described above. If this dog is believed to be a stray, I declare that I have held the dog for the necessary 72 hours, have taken the dog to the vet to be scanned for a microchip (no charge), and I have filed a report with local animal shelters and posted ads online in an effort to locate any owners. I declare that the above information is correct and I have not concealed or withheld any information regarding this dog and its history. I understand that falsification or omission of information in regard to the above-described dog may result in my being held liable for future actions of the dog; for future medical expenses of the dog; or for legal expenses involved in any dispute of my right to surrender this dog to No Borders Animal Rescue. I understand that this information may be released to any potential foster home or adoptive home.

Instructions

Email

File Upload

No Borders Animal Rescue Surrender Form

Verification