Name * First Name Last Name Email Address * Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Municipality/Council It is accepted that on this date MM DD YYYY The above named person surrenders to NSW Bull Terrier Rescue Inc a canine described as follows Please include name, breed, sex, age/DOB, colour and microchip number Worming due MM DD YYYY Vaccination due MM DD YYYY Desexed Yes No Under the following terms and conditions I hereby certify that I, First Name Last Name am the rightful owner/keeper/caretaker/custodian of the animal(s) who is/are the subject of this animal surrender form, hereinafter referred to as "the animal/canine". I hereby surrender any and all property rights to the animal. The animal may be transferred into the custody of NSW Bull Terrier Rescue Inc. I also hereby certify that the animal has/has not (please tick one), bitten or scratched a human or another animal within the past 10 days. Has Has not I understand that once I relenquish the animal, the animal will not be available to be returned. I further certify that I have read and understand the terms of this Animal Surrender Form Print name First Name Last Name Date: MM DD YYYY Please enclose a current copy of your driver's liscence or passport for security Authorised by NSW Bull Terrier Rescue Inc. Carer: First Name Last Name The following questions are to assist our foster carers and to make the transition into a new environment as easy as possible for your dog. The more we understand about your dog, the easier it will be for us to place him/her. Please tell us a little about your dog and why you are rehoming him/her Does your dog get along with other animals... Cats?.....Dogs?..... Small pocket pets e.g. Rabbits? If so, which animals? If not, please describe how they react when seeing another animal? Is your dog dominant or submissive with other dogs? Does your dog prefer either male or female dogs? Is your dog prey driven? Do they want to chase cats or small dogs? How does your dog react when meeting new people? Are they relaxed, boisterous, anxious, aggressive? Do they growl or bark when you have visitors? Are they protective of you, your vehicle or your property? Do they have a preference for men or women? Would you recommend they be suitable to be rehomed with kids? Does the dog have any experience around small children. Has your dog had any obedience training? Can they sit, stay, drop, wait for meals? etc. Does your dog travel well in the car? Is your dog used to going to public places? If so, how does he/she behave while in public? Does your dog walk well on a lead or does he/she pull? Does your dog have a good recall? Does your dog show any signs of food aggression? Is your dog posessive over food? or toys? Are you able to remove a food bowl or a bone from your dog? If your dog lives with another animal what is their routine at feed times? What do you feed your dog and how often? Does your dog have any special dietary requirements? Does your dog live inside or outside? Where are they used to sleeping? Is your dog housetrained? Is your dog crate trained? How many hours a day is your dog used to being alone? Does your dog have separation anxiety? Does your dog bark or become destructive when left alone? Other comments: Thank you. A rescue volunteer will get back to you shortly.
