Surrender Form

If you need to rehome your dog, we accept dogs that are NOT registered as menacing or dangerous dogs or aggressive towards other dogs or people. If your dog fits that criteria, please fill in and submit this form and follow the instructions at the bottom for sending us photographs.

Your Name *

Your Email *

Your Phone *

Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Dog's Name *

Age of Dog *

Approximate weight kgs

Breed *

Color(s) *

Socialization *

Sweet and social A little shy but warms up when you're nice Very shy Definitely abused Fear biter

Does your dog have the following *

Vaccinations Desexed Microchip Current Council Registration Up to date with Flea / Worm None of above

Is your dog classified as Menacing or Dangerous by the Council? *

What is your reason for surrender? *

Does you dog have any known medical condition? *

Has the dog ever been involved in an incident or bitten a person or dog? *

Has the dog ever shown any sign of aggression at all? *

Is the dog safe with cats and other common household pets? *

Are there any other comments your would like to make? *

When we take a dog in, we keep it in our homes with our families 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. Anything we do not fundraise, we pay for 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. The dog is part of the family and loved by us until we find it the perfect forever family. It is very important you are honest in your answers to make sure the dog can be placed with the right family. Any donation you can make to help towards the desexing, vaccination etc would be very much appreciated but not compulsory.

Please submit a photo of your dog

Browse Files

Please take two good quality, well lit photographs of the animal and email them to us at elliesk9rescue@gmail.com with your name and the animal's name in the subject of the email if the upload tool does not work.

Ellie's Canine Rescue & Rehome

Dog Surrender/Intake Request