Dog Surrender Form - Dubois County Humane Society

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Home
Donate
Wish List
Dogs Available for Adoption
Cats Available for Adoption
FAQ Questions for Adoptions
Make a Vet Clinic Appointment
Lost/Found Pets
- Found Baby Kittens
Foster
- Foster Form
Surrendering a Pet
- Dog Surrender Form
- Cat Surrender Form
Neglect
Volunteer
- Book Buddies
- Dog Day Out
Group Tours
Yearly Results
2025 Golf Scramble
Merch

Hours:
Tuesday and Wednesday 3-6pm
Friday 4-6 PM
Every first and third Saturday from 9AM-Noon

426 Wernsing Road
Jasper, IN 47546
[email protected]
812-482- PETS

Dog Surrender Form for residents of Dubois County Only

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address (must be from Dubois Co) *

Line 1

Line 2

City

State

Zip Code

Country

Was your dog adopted from DCHS? *

Yes No

Is your dog from another rescue or shelter? *

No Yes

Breed *

Dog's Name *

Gender *

Age *

Is your dog spayed/neutered? *

Yes No

Does your dog have a bite history? *

Is your dog current on vaccines? *

Yes No

Tempermanet *

Friendly? Shy? Hyper? Aggressive? Nervous? Protective? Affectionate? Trainable/Obedient? Laid Back?

Does your dog not like? *

Dogs Cats People Riding in Car Strangers Children No Social Issues

[object Object]

Has s/he been... *

a house pet? kept outdoors? crated indoors? tied out or chained? kenneled/dog house? loose in yard or neighborhood?

Reason for Surrendering? *

Upload Photo *

Max file size: 20MB

Please load a current photo

Submit

Visit our Spreadshirt shop for a variety of products in many different designs! Every purchase supports the lifesaving work at DCHS.

Home
Donate
Wish List
Dogs Available for Adoption
Cats Available for Adoption
FAQ Questions for Adoptions
Make a Vet Clinic Appointment
Lost/Found Pets
- Found Baby Kittens
Foster
- Foster Form
Surrendering a Pet
- Dog Surrender Form
- Cat Surrender Form
Neglect
Volunteer
- Book Buddies
- Dog Day Out
Group Tours
Yearly Results
2025 Golf Scramble
Merch