Surrendering a Dog

Please allow up to 5 business days for a response from our intake team. Thank you!

There are times when an owner can no longer care for their pet. The form below contains the necessary information we need in order to determine if we can assist and accept the dog into our program. Although we would love to help all dogs, we need to assess our current foster availability, among other factors, before making a decision.

Surrender Application

Name *

First Name

Last Name

Address *

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Email *

Phone *

Area Code

Phone Number

Date of Birth *

Is it a stray animal? *

Did you adopt this animal from B-Squad Dog Rescue? *

Animal’s name *

Breed *

Gender *

Male
Female

Weight *

Date of Birth *

Energy Level? *

High
Moderate
Low
Unknown

Veterinary Clinic *

Veterinarian’s Phone Number *

Date of last heart worm test *

Date of last rabies vaccine *

We require vet records for a pet being surrendered to B-Squad, unless the animal is a stray or hasn’t seen a vet since adoption through B-Squad. Please select how/if you will send vet records to us. *

If behavioral issues (i.e. extreme aggression) prevent us from safely placing your animal, would you like the option to take him/her back? *

Temperament *

Bite history? *

Yes
No
Unknown

Current on vaccinations? *

Yes
No
Unknown

Spayed / Neutered? *

Yes
No
Unknown

Lives with dogs? *

Yes
No
Unknown

Friendly with new dogs? *

Yes
No
Unknown

Lives with cats? *

Yes
No
Unknown

Friendly with new cats? *

Yes
No
Unknown

Lives with kids? *

Yes
No
Unknown

Friendly around kids? *

Yes
No
Unknown

Housetrained? *

Yes
No
Unknown

Crate trained? *

Yes
No
Unknown

Where did this animal come from? *

Why are you surrendering? *

Please describe any behavioral issues? *

Please describe any health issues? *

Please provide any additional information about your dog that can help us find an appropriate home. *

Please attach a good photo of your dog. *

Please attach another good photo of your dog. *

Your Signature

Signature

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B-Squad Dog Rescue
PO Box 583, Brandon, SD 57005

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