Surrender Contact Form – Boxer Rescue Ontario

We at Boxer Recue Ontario realize there can be many reasons for you to be considering to surrender your boxer and we are here to help.

BRO will find your dog a great forever family suited to your dogs needs through a phone interview, home visits and meet and greets for all applicants that apply to adopt.

We are a foster based organization, not a shelter so your dog will foster with a family in their home so the transition while being assessed is easier.

You will be asked to sign a surrender agreement and provide any medical records you may have when our transport volunteer comes to collect your boxer.

Please fill in the surrender form as truthfully as you can as this helps us find the best possible match for your dog. A volunteer from our intake department will be in touch with you very soon to go over details of your submission.

You may contact our Intake Director by email at fosterandintake@boxerrescueontario.com if you have any questions.

Owner's Information

Owner's Name *

Address, City, Province, Postal Code *

Home Phone

Cell Phone

Email *

Reason for Surrender: *

How long have you had this dog? Please explain where & when you obtained this dog.

Are you the legal owner of this dog? If no, please explain. *

Dog's Information

Dog's Name? Please include any nicknames you use for your dog. *

Age of dog and birth date (if you know it) *

Is this dog a single breed? *

Yes

No

Unknown

Please provide secondary breed if you know:

Dog's Color *

Dog's Weight *

Is this dog spayed/neutured? If yes, what age? *

I female is unspayed, when was her last heat cycle?

If female has had previous litters, when was the last litter and how many litters has she had?

Medical History

Dogs current vet & address: *

Date of last visit and why? *

Are the dogs vaccinations up to date? If so, when there they last given? *

(Please ensure to send in their vaccination certificate when surrendering the dog)

Is this dog on heartworm preventative? If so, what brand is being used and when was it last given? *

Is the dog on flea/tick preventative? If so, when and what type used? *

Does the dog have any allergies? Please include type of reaction including to certain foods. *

Has the dog ever had any serious illness? If yes, please explain. *

Does the dog have a chronic illness? If yes, please explain. *

Does the dog have trouble with eyesight, hearing, or mobility? If yes, please explain. *

Has the dog been microchipped? *

Yes

No

Unknown

Dogs Daily Living

What type of food does your dog eat daily? Please include brands of dry or canned, and the amount and time of meals. *

Are there any foods you have discovered the dog is allergice or sensitive to? If yes, please explain. *

What types of treats does your dog like? Do you feed table scraps? If yes, please explain.

How many hours a day is the dog left alone? *

Is the dog crated or confined to a certain area of the home while you are gone? If yes, please explain. *

Does the dog bark, have accidents, chew items or furniture when left alone? If yes, what have you tried to help? *

Where does the dog sleep at night? *

Is the dog allowed on the furniture? *

Does the dog live in an apartment, condo or house? *

How often and how long do you exercise your dog? *

What activities does your dog enjoy doing while your are out together? *

Running, jogging, playing fetch, swimming etc

When taking your dog out for a walk, what type of collar or harness do you use? *

How does your dog greet other humans and dogs while out on your walk? *

Is your dog good with children? If yes, what ages has the dog been around? *

Is your dog good with adults? If no, what causes the dog to react? *

Has your dog ever lived with cats daily? *

Yes

No

Has your dog ever lived with other dogs or been socialized on a regular basis with them? If yes, please provide ages, sex, and type of dogs and if they were spayed or neutured. *

Please describe your dogs temperament. *

Please describe your dogs likes and dislikes. *

i.e. thunder, hand shy, men, vets, objects, noises etc

How is your dog during grooming?

Does your dog tolerate nail trims? *

Yes

No

Does your dog tolerate ears being cleaned? *

Yes

No

Does your dog tolerate teeth being brushed? *

Yes

No

Does your dog tolerate rides in the car to the vets or groomers or do they get sick? *

Yes

No

Does your dog mind you touching them or are there areas they don't like being handled on the body? *

Tolerates

Does not tolerate certain body areas

please include details in the 'Other Information' Area at the end of this form.

Does your dog like baths? *

Yes

No

Is your dog housebroken? How often does the dog require being let out per day? *

Has your dog had any formal obedience training? *

Yes

No

Does your dog know any of these commands? *

Please explain any verbal commands or hand signals that your dog understands. *

Does your dog have any bad habits? *

Please describe any bad habits NOT on the list above. *

Has the dog ever bitten a human? Was the dog quarantined? *

(please provide full description of event(s))

Has the dog ever bitten another animal? *

(please provide full description of event(s))

Any additional information regarding the history of bites to human or animals. *

Images of your dog will be requested or can be provided by emailing: (email address here)