Owner Surrender Form

Owner Surrender Form

SoCal Animal Rescue Squad (SCARS)
We know that sometimes it’s just not possible to keep a pet. But before making the decision to surrender a pet, please consider all of your options. Contact behavior consultants or seek support with the issue at hand. It's also good to know that many problems can be improved by having your pet spayed or neutered. If you've exhausted all your options to keep them and you must surrender your pet, we are grateful for your commitment to their welfare.

Thank you for trusting us with your pet; we understand this is a difficult decision. Though we can't guarantee that we can take them, we will try to support you within our capacities and direct you towards the next steps.

Here at The SCARS we accept dogs that are 25 lbs or less and are good with dogs/cats/people (cats not a must). If your dog fits that criteria, we thank you in advance for filling in this form and providing us the following information about your pet. The more you share, the better it will help us with finding them the best foster placement and forever family.
Your Name *
Your Phone *
Your Email *
Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Are you 18 or over?
Animal's Name *
Breed *
Color(s) *
Age *

Under 8 weeks 8 weeks to 4 months 4 months to 1 year 1-3 years 3-6 years 6-9 years 9+ years
Approximate Weight *

15 lb or less 16-30 lb
Sex/Altered

Female, Spayed Female, NOT Spayed Female, I don't know Male, Neutered Male, NOT Neutered Male, I don't know
Please upload Spay/Neuter Certificate (if applicable)

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Socialization

Sweet and social A little shy but warms up when you're nice Very shy Definitely abused Fear biter Unsure, I just got them
Has your dog had any vaccinations or heart-worm testing? Please upload records.
Please upload vaccine records

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Any heath issues, allergies or physical conditions? Please explain
Is your dog micro-chipped?

Yes No I don't know
If so, what company?
Is the dog cat friendly?

Yes No It's never been around a cat
Is the dog potty trained/ housebroken/ house-trained?

Yes No In the process of
Is the dog child friendly?

Yes No
If so, what ages are the children?
Does the dog currently live in a house with a yard or Apartment with no outside access?
Does your dog currently live with any other pets? Or has regular playtime with other friend pets?

Yes No
Does your dog get along with other dogs? Or specific sizes they don't like?
How does your dog respond to strangers?
Are they afraid of a certain gender?
Did your dog live indoors/outdoors?
Is your dog crate trained? If so, how long do you keep them in there and how often?
Where does your dog sleep every night?
Does your dog show any food aggression? Are you able to remove the food bowl while they are eating? Will it allow other pets near while eating?
How often do you feed your dog? Is it scheduled or is the food bowl full/available all day?
What food brand do you feed them? Dry? Wet? or Both?
Does your dog share toys? Will it show aggression if you try to take a toy away? Or if another pet tries to take it from them?
Has your dog ever injured or killed another animal? If so, please explain.
Does your dog show any separation anxiety when left alone? Does it become destructive, cry or shut down? Please explain what happens?
Length of time dog is left alone daily?
What comforts your dog when they need a "pick me up" or to cheer up?
Is your dog leash trained? Do you go out for walks often? How often?
Does your dog pull during walks? Does it charge at other dogs or people during walks?
How does the dog do in car rides?
Are they an escape artist or runner?
How did you obtain the dog? What's the dog's history?
How long has it been under your care/ownership?
Has it had any formal obedience training? Does it know any commands?
Please include any notes on behavior or other challenges they have (Chewing, Excessive Barking, Begging, Digging, Jumping on People, chasing cars, etc). This will help us find them the best placement.
What is your reason for surrender?
Are you able to Foster or house the dog until we are able to find a foster family to place them with?
Donation

It costs to save them and house them
When we take a dog in, we keep it in our home with our family and pets. Whether it takes weeks or months to find it a home, we keep the dog with us and incur the cost of it's care and vetting. We do not fundraise and pay for our rescue work out of our own pockets. It is partially funded by our adoption fees, but this typically does not cover all of our expenses during the year.
Amount of donation offered to help us cover the cost of vetting/caring for this dog?
Insert Amount
Please take 3 good quality, well lit photographs of the animal. You can upload them here or email them to us at info@jointhescars.org with your name and the animal's name in the subject of the email. If you have any videos of the dog, please send us the links to them on youtube or via FB Messenger.
Upload Photos Here

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Contract

Please understand that you completely give up the ownership and all rights to this animal when you surrender it to The SCARS. Once the animal is surrendered, The SCARS have ownership and all rights to put up the dog for adoption and to place the dog into a forever home. The completed Owner Surrender Form is a contract to release the said animal to The SCARS therefore all provided information in this form must be answered correctly. By initialing below you are stating you have read and understood all terms of this form as listed above and there is no co-ownership on this animal you surrender to the rescue organization.
Initial
I do hereby voluntarily and irrevocably give, donate, surrender and release to The SoCal Animal Rescue Squad (SCARS), hereinafter referred to as The SCARS, the following animal, hereinafter referred to collectively as “Animal”:
Initial
I represent and warrant that I am the lawful owner of the Animal, and I have full power and authority to surrender the Animal to The SCARS. No other person has any legal or equitable ownership interest in the Animal.I have disclosed to The SCARS all material information regarding the medical and behavioral history of the Animal.
Initial
I willfully surrender all medical records and information pertaining to the Animal. The SCARS have my permission to contact my veterinarian for any necessary information pertaining to my Animal, and I hereby consent to the release of any and all medical information by any medical provider.
Initial
Veterinarian's Name
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I further acknowledge that I am releasing the Animal completely voluntarily and that no representations, considerations or promises of any kind have been made to me by The SCARS or any of its representatives.
Initial
I understand that by releasing the Animal to The SCARS, I relinquish all ownership or other interest in the Animal. I will not seek further information about the Animal and will not press The SCARS for details. My contact with the Animal terminates at the time of surrender. The SCARS are under no obligation whatsoever to follow up with information about the Animal.
Initial
I hereby release and forever discharge The SCARS from any and all rights, claims, obligations, liabilities, and causes of action whatsoever arising out of or relating to the ownership, possession, or disposition of the Animal, and I agree to indemnify and hold harmless The SCARS from and against any and all such rights, claims, obligations, liabilities, and causes of action which may be asserted by third parties.
Initial
This is a legally binding document for the irrevocable surrender of your Animal to The SCARS.
Intial
Indemnity Clause: The undersigned person(s) hereby expressly agrees to indemnify, hold harmless and defend The SCARS (“Company”), and its directors, officers, employees and agents, from and against any suits, actions, claims, losses, liabilities, damages, or costs the Company incurs or may incur for any reason arising out of or related to, directly or indirectly, the adoption or release of any animal to the undersigned by the Company or the surrender and release of any animal by the undersigned to the Company.
Enter Full Name
I have fully read and understand this Surrender Agreement. I accept and agree to abide by its terms.
Enter Full Name
Should be Empty:

Owner Surrender Form

Donation

Contract