Dog Surrender Form - Dubois County Humane Society

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Home
Donate
Wish List
Dogs Available for Adoption
Cats Available for Adoption
Make a Vet Clinic Appointment
FAQ Questions for Adoptions
Lost/Found Pets
- Found Baby Kittens
Foster
Foster Form
Surrendering a Pet
- Dog Surrender Form
- Cat Surrender Form
Neglect
Volunteer
Group Tours
Yearly Results
Merch
Vendor Row 50th Celebration

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? *

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
Make a Vet Clinic Appointment
FAQ Questions for Adoptions
Lost/Found Pets
- Found Baby Kittens
Foster
Foster Form
Surrendering a Pet
- Dog Surrender Form
- Cat Surrender Form
Neglect
Volunteer
Group Tours
Yearly Results
Merch
Vendor Row 50th Celebration