Take Paws Rescue Surrender Form May 5 2022 Today's Date: Maisha I Name: Address: Home Phone: 7209713018 Cell Phone: sacredjoy09@yahoo.com Email: Alternate Email: Owners Name Cailah Mae I Dogs Name Breed Maisha I Maltipoo Sex ❍ Male ❍x Female unable to care for her due to the heat and that I am living in my car Reason for Surrender To your knowledge has this animal bitten or shown potential to bite in the past She is very protective of her food, I don't think she has ever bitten anyone I originally acquired my dog from (foster name) breeder I have owned my dog for 13 years x A one person dog ❍ For adults only I would describe my dog as ❍ A family dog ❍ Frequency of accidents indoors ❍ Often ❍x Occasionally ❍ Never very rarely How often does your dog go outside? She is outside often, Is your dog crate trained? ❍ Yes ❍x No rrarely as she is usually with me and before van life I was For how many hours at a time is he/she left alone in a day? at home mostly 1/2 Take Paws Rescue Surrender Form Does your dog currently live with any other animals? If so, what kinds? ❏ Birds ❏ Cats ❏ Dogs ❏ Fish ❏ Other small animals ❏ Reptiles How does your dog behave towards these and other animals it interacts with? she has been around other animals and seems to do well most of the time she is usually with me Where do you keep your dog during the day? x Barks ❏ Chews personal items ❏ Digs holes When left alone my dog (select all that apply) ❏ ❏ Other ❏ Scratches on doors, windows, floor etc. ❏ Urinates/defecates indoors x Children My dog is afraid of (select all that apply) ❏ x Car rides ❏ X Bad weather ❏x Being left alone ❏ ❏ Loud noises ❏ Other ❏ Strangers ❏ Vet appointments x My dog knows the following basic commands x❏ Down ❏ Heel ❏ Other ❏ Sit ❏x Stay/wait She is a really sweet girl, who rarely barks, she likes to cuddle and have her stomach scratched, she is a wonderer, she loves to roam outside Please describe your dog’s overall demeanor My dog has the following health concerns My dog is currently on this medication Her eyes seem to be really runny, I am pretty sure she needs some probiotics none Other helpful information about my dog Please review and sign below acknowledging the following: -The above information reflects the animal in which I am surrendering to Take Paws Rescue. -I am the owner of this animal and have full right to surrender him/her. -I understand that I cannot ask for this animal back after this form is submitted to Take Paws Rescue, and this animal is now under the complete ownership of Take Paws Rescue -My signature below reflects that I have read and understand the information provided above and I am hereby releasing all rights for this animal to Take Paws Rescue. x❏ Yes ❏ No Your name 2/2 Powered by TCPDF (www.tcpdf.org)
