Owner Surrenders and Intake

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Intake Form
It is important that if you are giving up your dog that you give us at least several months to try and find a foster placement or permanent home for them. We ARE NOT A TURN-IN SHELTER. We take in Owner Surrenders as a Courtesy. We do not have a shelter and are foster home run, so therefore we have VERY LIMITED SPACE and cannot be expected to take in your dog with one to two days or even a couple of weeks notice.

New Hope Cattle Dogs will not take in any dog (s) that has a bite record or has aggression towards people and/or other dogs. Please take into consideration that we are a foster home run organization and all of our dogs live in homes with other dogs, sometimes cats and kids. It is MANDATORY that they are good with other dogs! A minimum donation of $50.00 is required upon surrender of your dog. This fee will help cover medical needs, housing and feeding of the dog.
Full Name *
Email Address *
Street Address *
City *
State *
Zipcode *
Phone Number *
Alternate Phone Number
Major Cross Streets *
What is the Dog's Name? *
Please list the primary breed of the dog *
If this dog is a mix, please list the secondary breed here
Please tell us the dog's date of birth, if unknown, please list approximate age: *
Did you find this dog as a stray or was he/she dumped on or near your property? *
Is this dog spayed or neutered? *

If not, please tell us why? (Ignore if dog is a stray)
Is this dog current on all shots (Distemper/Parvo, Rabies & Bordatella)? *

If not, please tell us why? (Ignore if dog is a stray)
Please tell us why you are turning this dog in (please be specific): *
Please tell us where this dog primarily is kept *






Is this dog housebroken? *

Can/does the dog jump or climb fences? *

Can this dog be trusted by itself inside for extended periods of time? *

Can this dog be trusted by itself within a fenced yard? *

Is this dog crate/kennel trained? *

What kind (brand) of dog food do you feed this dog? *
Will you be able to provide at least a weeks worth of dog food to transition dog at time of intake? *

Does this dog have any known medical issues? *

If yes, please describe medical issue and indicate the medications he/she takes:
This dog is good with (please check all applicable): *












This dog is NOT good wit h (please check all applicable): *












Please check all the words/phrases that best describe your dog: *




































































Has this dog ever bitten a person? *

If yes, was this reported to the authorities or county pound?

If you answered yes to biting, please describe the circumstances (be specific):
Has this dog ever attacked another animal? *

If you answered yes, please describe the circumstances:
Where did you get the dog from? *






Has the dog been obedience trained by a professional obedience trainer? *

If you answered yes to the above question, who was the tainer (please list name and city/state)?
Does the dog have a current Veterinary? *

If yes, Please give us the Veterinarian's name and address.
Do you agree to provide us with all the information (including vet records) we need to place your dog? *
Do you agree to foster the dog until we can find it a new home? *
Do you agree to our intake policies and procedures? *
Do you agree that you have answered all the above questions truthfully and to the best of your knowledge? *
Additional Comments:
Please submit a photo of the dog you are submitting here:
Additional Photo:

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