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Email: GS RoaR
Address: GSROR
P.O. Box 1481
Westminster, CO 80036

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Surrender Request Form

If you are no longer able to care for your German Shepherd Dog, please complete the following form with true, honest, and complete answers. The more information you can provide to us the better the opportunity we have to place your dog in the right home. Someone will contact you to discuss the rescue taking in your dog. Please note that there will be a Minimum surrender fee of $50.00 once you sign your pet over to GSROR as a donation for us to evaluate, groom, feed and any vetting necessary while in the care of GSROR in preparation for adoption.

Questions marked with an asterisk(*) are required.

PERSONAL INFORMATION

Name (First & Last)*
Address*
City*
State*
Zip*
Daytime Phone*
Evening Phone
Email*

YOUR DOG'S INFORMATION

Name of Dog*
 
How old is your dog?* (Date of birth or best guess)
 
Gender?* Male   Female
 
Where did you get your dog? From a breeder, shelter, friend?*
 
Is your dog a purebreed GSD or a mix with what other breed (to your best knowledge)?*

 
How long have you had this dog?*

 
Is your dog spayed/neutered?* Yes   No
 
Is your dog current on vaccinations?* Yes   No
 
Has your dog been heartworm tested?* Yes   No
 
Is your dog on heartworm preventative?* Yes   No
 
Is your dog microchipped? With which company? List microchip or tattoo number.*
 
Please let us know why you need to relinquish your dog. The more details the better.*
 
What is the date that your dog needs to be released to GSROR?*
 
Does your dog have any medical issues we need to be aware of?*

MORE INFORMATION ABOUT YOUR DOG

Has your dog been around children? If so, what ages?*
 
How does he react to them running, being loud, pulling hair, etc? Please explain in detail.
 
How is your dog around Adults?*
 
Does your dog prefer men or women?* Men   Women   No preference
 
If your dog is uncomfortable around one gender please explain his/her behavior.
 
How does your dog react when meeting new people?*
 
Has your dog ever bitten a person. If so, please explain the situation.*
 
How is your dog with other dogs?*
 
Does your dog prefer male or female dogs?* Male   Female   No preference
 
How is your dog with small dogs?*
 
Is your dog socialized with other dogs? Have you taken him/her to daycares or dog parks?*
 
How does your dog react when meeting a new dog?*
 
Has your dog ever been in a dog fight?
If so, what prompted the fight (did your dog start the fight)?*
 
How is your dog with cats?*
 
Has your dog been around livestock?
If so, has he/she been trained to herd or prefers to leave them alone?*
 
Has your dog been around other kinds of indoor pets (rabbit, hamster, etc...)? If so, which ones?*
 
Is your dog protective of your property?* Yes   No
 
Is your dog protective of his things?* Yes   No
 
Has your dog ever shown signs of food aggression toward other dogs or people?
If so, what did he/she do?*
 
Is your dog housetrained?* Yes   No
 
Is your dog obedience trained and to what level? Does he know basic commands
(Sit, down, stay, come or other commands)?*
 
Does your dog jump the fence? If so what height is your fence?*
 
Have you had a problem with excessive barking?* Yes   No
 
When does your dog bark the most (left alone, around strangers, other dogs, etc ...)?
 
Does your dog dig or destroy your yard when left alone?* Yes   No
 
Does your dog show signs of separation anxiety? If so, what does he/she do
(tear up furniture, destroys things, trys to escape from house, etc ...)?*
 
Is your dog afraid of loud noises?* Yes   No
 
What is your dog's reaction to thunderstorms or fireworks?*
 
Does your dog get into trash cans, either inside or outside?* Yes   No
 
What is your dog's energy level?* High   Medium   Low
 
Does your dog like to play with toys such as balls and frisbees?* Yes   No
 
What does your dog enjoy doing for exercise or fun?*
 
Is your dog crate trained?* Yes   No
 
Where does your dog sleep at night?*
 
Is your dog an indoor or outdoor dog? If outside, does your dog ever come in?*
 
Please describe in detail who your dog is? Both good and bad traits.
(This will help us to better understand your dog)*
 
Please describe in detail the home you would like to see your dog go to.*
 
Is there any other information that you would like to share with us to help us place your dog?
 

YOUR VET INFORMATION

Vet's name*
Vet's phone number*
Pets treated there*

When you submit this surrender request form, you are acknowledging that the information given is true and accurate. Please allow us up to 10 days for a representative of GSROR to contact you and discuss the possibility of helping. It will help us to see a picture of your dog, please email us with your dog's name in the subject line.

If you need to relinquish your dog immediately, in addition to filling out this request form, click here to send us an instant email indicating the time restrictions regarding the surrender of your dog. In the subject line state "surrender of and your dog\s name". We will find your request form and contact you as soon as possible.