COASTAL K9 OWNER RELINQUISH

Dog's Gender

What is the approximate age of the dog?

Is the dog up to date with shots? Please include dates of last shots given.
Rabies, DHPP (distemper/parvo), Bordetella. *

Dates of last shots given

Do you have vaccine records?

Attach Records File

Please attach any original document/s of the dog if possible.

Pure shepherd or mix? If mix, what breeds?

Please attach pictures of the dog.

How long have you had the dog?

Where did you get the dog?

Why are you rehoming your dog?

Have you tried to resolve the issues? If so, how?

Any medical issues?

Inside or outside dog? Or both?

Where does the dog sleep at night?

Good with LARGE dogs? Males and females?

Good with cats?

Good with SMALL dogs? Males and females?

Good with kids and babies?

Good with MEN and WOMEN?

Housebroken?

Obedience trained?

Protection Trained?

Ever bitten a human? (if yes, please give details)

Ever bitten another dog? If yes, please give details - include SIZE and GENDER of the other dog)

Walk well on leash?

Are you able to keep your dog until we find him/her another home?

Does the dog: BARK a lot? CHEW on things? JUMP fences? (if so, how high is fencing?) Please answer all the questions.

Anything else we need to know about your dog?

Submission of an application is not a guarantee that the dog will be accepted into our Rescue. In some cases, we may already have someone looking for a dog that would be a perfect match. We do our best to help as many dogs as we can, but we receive an overwhelming amount of pleas from owners asking us to take their dogs into our Rescue. *

Dog's Name

Is the dog spayed/neutered?

1st photo here.
2 Photos are mandatory.

2nd photo here