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Surrender A Golden

Giving up a dog can be a difficult decision and we're glad that you've come to us. All of our dogs stay in foster care and are treated as a member of the family. We screen our applicants very carefully and would only place your dog in a home where we would leave one of our dogs.

The surrender form must be filled out completely. This information helps us learn about your dog and to find the best possible foster home for him/her. We will need the vet's name and phone number, as we will call to get the records before contacting you. We will also need a digital picture of your dog. To speed up the process, you can send one after you've filled out the online form. You can email it to staff@goldenretrieverfreedom.com with the name of your dog as the subject.

All incoming dogs are assessed prior to acceptance into our foster program. Your dog must get along well with other dogs, as most foster homes have their own dogs. Your dog must also get along well with people, as that is the main trait our applicants are looking for in a golden. If you do have a golden that has aggression problems, we will be unable to take your dog. We would be more than happy to provide alternatives or recommendations for trainers or behavior specialists.

The surrender process can take anywhere from a couple of days to a couple of weeks. The more information that is provided from the beginning can reduce waiting time. The surrender forms are checked several times daily and you will be contacted either by email or phone.

Please understand that you completely relinquish ownership and all rights to your golden when to surrender it to Golden Retriever Freedom Rescue, Inc.

General Golden Information

Name (First/Last):  

Address:  

City:   State: Zip:

Email Address:  

Home Phone:   Work Phone: Cell Phone:

Golden's Name:   Sex:

Age:   Color: Spayed/Neutered:

Rabies Tag #:  

Origin of Golden:  

Feeding Schedule:   AM PM Both Free Feed Eager Eater Problem Eater

Daily Amount (cups):   Brand of Food:

Vet Clinic/Vet Name:   Phone #:

Shots Current:   On Heartworm?: Vaccination Records?:

Other Medications?:   If yes, what?:

Medical Conditions?:  

Signs of Aggression?:   If yes, details:
Was the dog provoked?:



Behavior and Training Information

House Trained?:  
How do you know they need to go?

Relations w/People:   Good with anyone Likes Women only Likes Men only
Afraid of certain adults Good with children over 6
Good with children over 12 Not good with children

Relations w/Dogs:   Likes Them Tolerates Afraid Fights
Good with Males Good with Females

Relations w/Cats:   Likes Them Tolerates Afraid Fights
Good with Males Good with Females

Obedience Commands:   Sit Stay Down Come
Shake Roll Over    Other:

Leash Training:   Gentle Leader Heels
Walks in front but doesn't pull Pulls Hard

Behavior Issues   Chews Digging Barking Escaping
Afraid of Thunder Separation Anxiety

Where is the Golden while you're gone?  

Where do they sleep?  

How long are they alone?  

Favorite activities?  

Any Dislikes?  

What are the best qualities of your dog?  

What are the worst qualities of your dog?  

What is the most challenging trait of your dog?  

When was the last time your dog played with another dog and where?  

Is your dog an alpha (being the boss) or more submissive (rolling over)?  

Reason for Surrender:  

When do you need to surrender your Golden?  

Please read the information below and then press the Submit Application button above. This form will be printed and sent to our intake coordinator and your signature will be required when the dog is officially released.

OWNER SURRENDER CONDITIONS:
1. GRFR agrees to accept into the rescue program the dog described above.

2. Releaser will pay the sum of $25 to help defray the costs of the rescue service.

3. It is expressly understood by the parties of this Surrender Agreement that the Releaser voluntarily surrenders the above described dog to the rescue service free and clear of any claim of ownership and guarantees that no claim of ownership will ever be made against said dog.

4. Releaser represents and warrants the Releaser is the sole owner of this dog and has the full and complete legal right to release said dog to the rescue service. Releaser will provide any registration papers or medical records upon release to GRFR. Releaser provides full disclosure of all known information regarding the temperament, behavior, characteristics and medical problems and treatments of the dog per the above form.

5. The rescue service assumes all responsibility for the dog's actions after the dog is released. The rescue service agrees to hold releaser harmless for any actions of the dog after it is released to the rescue service unless there is an undisclosed history of aggression or aggressive episodes involving biting. It is mutually agreed by the parties that the only exception shall be if the dog remains in the physical custody of releaser as set forth in paragraph 6.

6. If the dog being released herein remains in the physical custody of releaser until such time as the rescue service finds a suitable home for the dog, it is understood and agreed that the dog is the sole property of the rescue service.

7. DATE effective as of the date set forth in the first paragraph of this agreement.


If you agree to the terms as laid about above
please click the check box:
I Agree