Owner Surrender Form
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Email *
Misfit Mutts Dog Rescue is located in Green Bay, WI. *
MMDR is a foster based rescue and all of our dogs live in foster homes. Before we can take a dog into our program we first need a foster home to commit to taking them.  THIS PROCESS CAN TAKE ONE TO TWO WEEKS. If you need immediate assistance, please contact the Wisconsin Humane Society Green Bay Campus. 
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If/when we are able to secure an interested foster home we will then need to to have an evaluation done by our trainer to ensure it is a good fit. The evaluation takes place at our rescue facility in Green Bay, WI. The owner will be responsible for getting their dog to/from the evaluation. 

Once the evaluation is complete the dog will return with the owner so our board can determine if they will be a good fit for our program. If we are able to accept them into our program, we then schedule a separate day for them to join the foster family. 
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If you are requesting surrender for multiple dogs you will need to fill out one form for each dog.  *
Required
Full Name (First/middle initial/last) *
Street Address *
City *
State *
Zip Code  *
Phone Number (Cell) *
Phone Number (Home)
Dog's Name *
Dogs breed *
Dogs weight *
Dog's gender *
Dog's Age *
What is the reason for surrendering *
How soon will you need placement of this dog? *
How did this dog come into your care? Ex. From a breeder, a rescue, the humane society, etc.  *
Have you reached out to the breeder/rescue/shelter/person the dog came from to return them to their care? Please explain.  *
Is this dog up-to-date on vaccines?   *
If we are able to secure an interested foster family and this dog is not up to date on their rabies vaccination it will be the owners responsibility to get their dog current on this vaccination before we can have an evaluation done by our trainer.
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Is this dog spayed/neutured? *
If this dog is not spayed/neutered please explain.  *
What is the primary veterinarian for your dog?  *
What is the veterinarian's phone number?
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What owner name is the pet under at the vet clinic? *
Does this dog currently have any medical needs? If so, please explain. *
This dog has been exposed to: (check all that apply and do not make guesses) *
Required
Please explain in detail how this dog behaves with the boxes checked above. *
Is this dog crate trained? *
Please explain when your dog is crated for. Ex. While we are at work, at night, when they eat their meals, etc.    *
How many times a week is your dog crated? *
How many consecutive hours is your dog crate at a time? *
Is your dog crated while you are at home? *
Please explain how your dog behaves in his/her crate. Do not write yes or no *
Is this dog potty trained? *
Please explain.  *
This dog displays the following behaviors: 
(check all that apply.)
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Required
Please explain in detail.  *
When interacting with other dogs this dog is: (Check all that apply) *
Required
Please explain in detail.  *
When interacting with people this dog is: (Please check all that apply)
Please explain in detail.  *
When interacting with children this dog is: (Check all that apply) *
Required
Please explain in detail.  *
When interacting with cats this dog: (Check all that apply) *
Required
Please explain in detail *
This dog enjoys: (check all that apply) *
Required
Please explain in detail.  *
This dog knows the following commands: (Check all that apply) *
Required
Please explain in detail.  *
This dogs activity level: *
Please explain in detail.  *
This dogs vocalization level is: *
Please explain in detail.  *
The dog would be best described as: (check all that apply) *
Required
Please explain in detail.  *
This dog is fearful of: (Please check all that apply *
Required
Please explain in detail.  *
This dog needs work on: (Check all that apply *
Required
Please explain in detail. *
This dogs ideal home: (Check all that apply *
Required
Please explain in detail. *
Has this dog had professional training? If so, please explain? *
Please write a short bio for your dog and include anything else you would like us to know about this dog: *
I understand it is a requirement for my dog to meet a foster family and their resident pets to make sure it is a good environment for everyone. *
Please e-mail photos (videos if you have them) of your dog to our rescue email. Misfitmuttsdogrescue@gmail.com *
Required
Please understand that we may not be able to help this particular dog. We are completely foster based and if we don't have a open/willing foster home we will not be able to help. We try to help every dog but sometimes cannot. *
Required
Date *
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Electronic Signature *
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