Surrender Form | Alaska Beagle Ranch

This application will gather all the information we need, and a future adopter might need, about your pet. Your honest answers are helpful to the people considering your pet for adoption and help us decide what kind of home would be best for them.

We will also determine if your pet is a good candidate for our adoption program. Please be honest when answering these questions! We will not refuse an animal if we feel that we can help, but we need to ensure we have the finances and ability to give your pet the care he/she needs, and we will not place an animal for adoption that is ill or a danger to the community.

Full Name*

Co-Owner Full Name*

Your email*

Dogs Name*

Dogs Breed(s)*

Physical Address*

Mailing Address*

City, Town, Village*

Alaska

Phone Number*

Dogs Age*

How Long Have You Had the Dog?*

Where did you get the dog?*

Has it Traveled Outside of Alaska? Where and When*

What Veterinarian Clinic was Your Dog Seen At?*

Does Your Dog Have Any Known Medical Condition? If yes, what?

Does Your Dog Have Any Dislikes?*

Does Your Dog Get Along with Other Animals? Dogs, Cats, etc*

Does Your Dog Get Along with Children?*

Is Your Dog Housebroken?*

Is Your Dog Kennel Trained?*

Does Your Dog Have Any Behavior Issues? *

By printing your name below, you are electronically signing that you agree to the following statement; In signing and submitting this document, I do certify that I am of legal age to give consent and do hereby voluntarily and irrevocably give, donate, surrender and release to Alaska Beagle Ranch Inc (ABR) the animal(s) in question on this form. I have disclosed any and all material information regarding the medical and behavioral history of said animal(s). I willfully surrender all medical records and information and give ABR and its representatives permission to contact the treating veterinarian for any records or information which might be in their possession. I acknowledge that, once relinquished, ABR has made no promises regarding the surrendered animal(s) beyond the inclusion in its care and adoption program. I hereby certify that I am the rightful owner/keeper/caretaker of the animal(s) who is/are the subject of this Pet Surrender Application. I release and discharge ABR from any and all claims, obligations, liabilities and causes of action whatsoever arising out of or relating to the claims, obligations, liabilities and causes of action which may be asserted by other parties. I understand that by surrendering my property rights to the animal, the animal will not be available to be returned once relinquished. I further certify that I have read and understand the terms of this Animal Surrender Application. *

Yes

Print Your Electronic Signature*