Little Legs Dog & Cat Rescue QLD Inc

Surrender Form - Dog or Puppy

If you require assistance with rehoming your pet, please complete the Surrender Application below. Little Legs is a small dog and cat rescue and unfortunately do not have the facilities for medium & large breeds (unless previously adopted from LLs).

If you require assistance and wish to use the Last Litter Program or wish to surrender a cat, please go back and select the relevant form.

Once both photo and surrender form are received we will email you with confirmation and if possible, will commence seeking a foster home for your animal.
This process can take up to two weeks or more, at times. Please let us know if your pet is rehomed during this time. We will contact you as soon as a foster placement has been found.

If your animals are bonded, please note this on the surrender form.

*PLEASE NOTE*
If you surrender your pet to Little Legs, you will have a 3 day cooling off period after the handover where you can retract your surrender and reclaim your animal.
After this cooling off period has lapsed we will not hand back surrendered animals, to previous owners. If, during the cooling off period any vet work has been completed by Little Legs we will require reimbursement for lost costs before handing animals back.

Please ensure all fields with an asterisk ( * ) are completed as blank fields will prevent the form from submitting.

IMPORTANT INFORMATION:
You cannot surrender an animal that belongs to another person.

1. Owners First Name *
2. Owners Last Name *
3. Owners Address *
4. Owner's Suburb *
5. Owner's postcode *
6. Best contact number *
7. Email *
8. Type of Animal *	Small Breed Dog
9. Dog's name * Please ensure this is your ANIMAL'S NAME and you haven't used auto-fill causing it to fill in your own name.
10. Age of Animal *
11. Dog's Primary Breed *
11a. Secondary Breed (if applicable)
12. Approx weight * If you need assistance rehoming a medium or large dog, we recommend checking the directory on petrescue.com.au
13. Sex *
14. Colour *
15. Is the animal microchipped? *
15a. Microchip number (if known)
How long have you owned the animal? * *
Are you the Legal Owner of this Animal? * If this animal belongs to someone you know, they need to be the person to surrender the animal.
I originally adopted this animal from Little Legs Dog & Cat Rescue *
16. Is the animal desexed? *
17. Is the animal up to date with vaccinations? *
17a. Do you have the current vaccination certificate? *
18. Is your animal up to date with flea treatments? *
18a. If yes, when were they last given a flea treatment and what brand was it?
19. Is your animal up to date with heartworm prevention? *
19a. If yes, when were they last given a heartworm prevention and what brand was it?
20. Is your animal up to date with Intestinal Wormers? *
20a. If yes, when were they last given an intestinal wormer and what brand was it?
21. Is your animal up to date with Tapewormer? *
21a. If yes, when were they last given a tapewormer and what brand was it?
22. Does the animal have any health problems? If so please list, including any medication *
23. Is the animal child friendly? *
24. Is the Animal Dog Friendly? *
25. Is the Animal Cat Friendly? *
26. Has the DOG ever bitten another animal or person *
26a. If the dog has bitten a person or another animal, please give details of the event
27. Has the dog had basic training? *
27a. What commands does the dog know, if any?
28. Does the dog sleep indoors or outside? *
29. Is the animal toilet trained? *
29a. If yes. how does the dog let you know when it needs to go out?
30. Dog or Cat temperament? (eg. confident, timid, aggressive etc) *
31. How does the dog react to visitors to your home or strangers? *
32. What situations make your animal nervous? ie. storms, kids, loud noises etc *
33. What is the animal's daily routine? ie. mealtimes, walks, play, bedtime etc. *
34. What does the animal like to eat? Brands, wet or dry, home cooked etc. *
35. Does your dog require specific fencing? *
35a. Has the dog ever escaped your yard? If so how? ie. jumping, digging. *
36. Is the dog an excessive barker? *
37. Has the dog been subject of any council complaints? If yes, please provide details *
38. Is the dog a declared dangerous dog? *
39. Does the dog walk well on the lead? *
40. How does the dog react to meeting other dogs whilst on outings? *
41. How does the dog react to meeting other people whilst on outings? *
42. Has the dog been around small pets/pocket pets like guinea pigs, cats or birds? If yes was the dog friendly towards them? *
43. Has the dog been around any farm animals like horses, goats, chickens? If so was the dog friendly towards them? *
44. Does the animal travel well by car? *
45. How does the dog react to grooming, nail clipping, baths etc. *
46. What are some of the animals favourite activities? *
47. What are the animals dislikes? *
48. What are any triggers for the animal that may bring on negative behaviour? *
49. Is the dog anxious in any way? please explain. *
50. Does the dog have any major behaviour issues? Please list. *
51. Reason for surrender? *
52. How urgently do you need help? *
53.Your vets details - Name, suburb and contact details
Photo of your animal *
Copies of vet work / certificates
Copies of vet work / certificates
Copies of vet work / certificates
It is my opinion, this animal is suitable for rehoming *
It is my opinion, this animal is safe to be around adults *
It is my opinion, this animal is safe to be around children *	No Yes older only
It is my opinion, this animal is safe to be around small dogs *
It is my opinion, this animal is safe to be around large dogs *
It is my opinion, that this animal is safe to be around cats *
Has this dog ever bitten or attacked a person? If yes, please provide details *
Has this dog ever bitten or attacked another animal? If yes, please provide details.
I declare the above information to be true and correct to my knowledge and I understand it is an offence to provide false or misleading information and that I can be held liable. I confirm I am the legal owner and have the right to surrender this animal to LLSQLD and the animal does not belong to a person known to me. *

Please keep an eye on your email, both inbox and spam folder, for any updates relating to your application.

If you have rehomed or no longer need assistance, please let us know asap