Surrender Request Next Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.About YouYour Name(Required) First Last Your Address Street Address Address Line 2 City Postal Code Is the animal you wish to surrender currently residing at this address?(Required)If NO, please list where they are presently residing and any other relevant information about their locationHow Can We Reach You?What is the best way for us to get in touch?Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Animal InformationPlease give us as much detail as you can provide for the animal you would like to surrenderAnimals Name(Required)Age?Please list the age or approximate age of the animalGender(Required) Male Female Are they spayed/neutered/fixed?(Required)Please indicate whether your animal has been spayed (females) or neutered (males). Spaying and neutering are common surgical procedures that prevent companion animals from reproducing and can contribute to better behavior and health. If your animal is not spayed or neutered, please let us know the reason (e.g., age, finances, health concerns, or personal choice) below. Yes No Unsure If NO, please list your reasoning(Required)Breed(s)Please specify the breed (or suspected breeds) of your animal, if known.ColourDescribe the primary color or markings of your animalWeight(Required)Please let us know the approximate weight of your animalHistoryPlease give us as much detail as you can provide Why are you surrendering this dog?(Required)Please provide the reasons for surrendering your animal. This information helps us understand the animals background and needs. How long have you owned this animal?(Required)Indicate the duration of time you have had your animal.Where did you acquire this animal?(Required)Please specify where you got your animal (e.g., from a breeder, shelter, friend, etc.)Has your dog ever bitten anyone?(Required)Please let us know if your dog has a history of biting. If yes, provide details about the circumstances and date of the incident, as this information is crucial for ensuring safety and appropriate placement.Medical InformationPlease give us as much detail as you can provide Has this animal ever seen a veterinarian?Regular veterinary visits are important for your animals health. Please indicate if this has been the case.What veterinary clinic does the dog visit?Please provide the name of the veterinary clinic that has treated your animal.Is this animal currently up to date with vaccinations?(Required)Has your animal ever been vaccinated? If so, when was the last time?Has this animal ever been diagnosed with any medical concerns?(Required)Please list any known medical issues your dog has, such as diabetes, heart murmurs, or urinary tract infections.Has this animal ever required medical surgery?(Required)Please indicate whether your animal has undergone any surgical procedures. If yes, please provide details.Is your animal currently receiving any medication?(Required)If your animal is on any medication, please specify the type and purpose.Dietary InformationPlease give us as much detail as you can provide What brand of food are you currently feeding your animal?Please indicate the brand of food you are providing.What type of food does your annimal eat?(Required)Choose the primary type of food your animal consumes. Dry Only Canned Only Combination of Both People Food How often is your animal fed?Please indicate whether your animal has food available at all times or is fed at designated meal times.Lifestyle and PersonalityPlease give us as much detail as you can provide What areas of your home did the animal have access to?(Required)Please specify whether your animal had access to indoors, outdoors, or both areas. Indoors Outdoors Both If this animal has lived with other pets, how did they interact?(Required)Describe how your animal got along with other animals in the home.Has the animal lived with children?(Required)Please indicate if your animal has had experience living with children and specify their ages if applicable. How would you describe your animals personality most of the time?(Required)Share your observations about your animals typical behaviour and temperament. Does your animal have any behavioural challenges/issues, fears etc?(Required)If yes, please explain. Is there anything else you would like us to know about your animal?Feel free to share any additional information or insights about your animal that may help us in their care and future placement.If you are able to, please upload a picture (or pictures) of the animal you wish to surrender Drop files here or Select files Max. file size: 63 MB. Δ PAWS Surrender Form Next Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.About YouYour Name(Required) First Last Your Address Street Address Address Line 2 City Postal Code Is the animal you wish to surrender currently residing at this address?(Required)If NO, please list where they are presently residing and any other relevant information about their locationHow Can We Reach You?What is the best way for us to get in touch?Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Animal InformationPlease give us as much detail as you can provide for the animal you would like to surrenderAnimals Name(Required)Age?Please list the age or approximate age of the animalGender(Required) Male Female Are they spayed/neutered/fixed?(Required)Please indicate whether your animal has been spayed (females) or neutered (males). Spaying and neutering are common surgical procedures that prevent companion animals from reproducing and can contribute to better behavior and health. If your animal is not spayed or neutered, please let us know the reason (e.g., age, finances, health concerns, or personal choice) below. Yes No Unsure If NO, please list your reasoning(Required)Breed(s)Please specify the breed (or suspected breeds) of your animal, if known.ColourDescribe the primary color or markings of your animalWeight(Required)Please let us know the approximate weight of your animalHistoryPlease give us as much detail as you can provide Why are you surrendering this dog?(Required)Please provide the reasons for surrendering your animal. This information helps us understand the animals background and needs. How long have you owned this animal?(Required)Indicate the duration of time you have had your animal.Where did you acquire this animal?(Required)Please specify where you got your animal (e.g., from a breeder, shelter, friend, etc.)Has your dog ever bitten anyone?(Required)Please let us know if your dog has a history of biting. If yes, provide details about the circumstances and date of the incident, as this information is crucial for ensuring safety and appropriate placement.Medical InformationPlease give us as much detail as you can provide Has this animal ever seen a veterinarian?Regular veterinary visits are important for your animals health. Please indicate if this has been the case.What veterinary clinic does the dog visit?Please provide the name of the veterinary clinic that has treated your animal.Is this animal currently up to date with vaccinations?(Required)Has your animal ever been vaccinated? If so, when was the last time?Has this animal ever been diagnosed with any medical concerns?(Required)Please list any known medical issues your dog has, such as diabetes, heart murmurs, or urinary tract infections.Has this animal ever required medical surgery?(Required)Please indicate whether your animal has undergone any surgical procedures. If yes, please provide details.Is your animal currently receiving any medication?(Required)If your animal is on any medication, please specify the type and purpose.Dietary InformationPlease give us as much detail as you can provide What brand of food are you currently feeding your animal?Please indicate the brand of food you are providing.What type of food does your annimal eat?(Required)Choose the primary type of food your animal consumes. Dry Only Canned Only Combination of Both People Food How often is your animal fed?Please indicate whether your animal has food available at all times or is fed at designated meal times.Lifestyle and PersonalityPlease give us as much detail as you can provide What areas of your home did the animal have access to?(Required)Please specify whether your animal had access to indoors, outdoors, or both areas. Indoors Outdoors Both If this animal has lived with other pets, how did they interact?(Required)Describe how your animal got along with other animals in the home.Has the animal lived with children?(Required)Please indicate if your animal has had experience living with children and specify their ages if applicable. How would you describe your animals personality most of the time?(Required)Share your observations about your animals typical behaviour and temperament. Does your animal have any behavioural challenges/issues, fears etc?(Required)If yes, please explain. Is there anything else you would like us to know about your animal?Feel free to share any additional information or insights about your animal that may help us in their care and future placement.If you are able to, please upload a picture (or pictures) of the animal you wish to surrender Drop files here or Select files Max. file size: 63 MB. Δ
