Surrender Form

Ellie's Canine Rescue & Rehome

Dog Surrender/Intake Request
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. WE ARE IN WELLINGTON AND CANNOT TRANSPORT DOGS.
Your Name*
Your Email*
Your Phone*
Your Address*

Street Address

Street Address Line 2

City

WE ARE IN WELLINGTON AND CANNOT TRANSPORT DOGS.
Dog's Name*
Age of Dog*
Gender of dog*

MaleFemale
Approximate weight in kgs
Breed (s)*
Colour(s)*
Socialisation*

Sweet and socialA little shy but warms up when you're niceVery shyDefinitely abusedFear biterFriendly and energetic
Does your dog have the following*

Current VaccinationsDesexedMicrochipCurrent Council RegistrationUp to date with Flea / WormNone 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 health problems? Or is your dog unwell currently with diarrhea?*
Has the dog ever been involved in an incident or bitten a person or animal?*
Has the dog ever shown any sign of aggression at all?*
Is the dog safe with cats and other common household pets?*
Does this dog currently live with children? If so what are their ages. *
What is their training like? e.g. What are they like on the lead? Do they know basic commands?*
Does your dog jump fences?*

NeverOnly jumps 1m or lowerWill jump anything under 1.2mWill jump anything under 1.5mWill jump anything under 1.8mWill jump anything under 2mNo fence can contain this dog
Are there any other comments your would like to make?*
Will you be making a donation or koha to us?*
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. 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 us be very much appreciated.
Please submit a photo of your dog

Browse Files

Cancelof
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.
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Ellie's Canine Rescue & Rehome