Fulton County Regional SPCA - Dog Rehoming and Surrender Waiting List

Human Information

First Name *

Last Name *

Phone *

Email *

Confirm email

Physical Address

City *

Are you interested in listing your dog in our Neighbor to Neighbor Network? *

Are you the legal owner of the dog? *

If no, how did you come into possession of this dog?

Is the dog licensed? *

Dog Information

Dog's Name *

Dog's Breed (or best guess) *

Do you know your pet's DOB? *

Age (estimated is fine)

Date of Birth

Sex *

Spayed/Neutered? *

Microchipped? *

Microchip number, if known

Weight in pounds (best guess is fine) *

Color/Markings *

Please upload a picture of your dog *

Situational Information

Reason for Surrender (pick as many that are relevant) *

Where did this dog come from? *

At what age was the dog when you acquired it? *

Name of Current or most recent vet or practice: *

Is the dog up to date on vaccines? *

Please upload a picture of your pet's vaccination records (tags are not sufficient)

Any medical issues? *

Please list the medical issues:

Has the dog ever bitten or snapped at a person? *

If yes, please describe the situation(s):

Has the dog ever bitten or fought with another animal? *

If yes, please describe the situation(s):

Is the dog fearful of anything (loud noises, men, strangers, etc.)? *

Has the dog ever shown guarding behavior over food, toys, or space? *

How does the dog react to strangers? *

How does the dog react to children? *

How does the dog react to other dogs? *

How does the dog react to cats or small animals? *

Is the dog housetrained? *

Is the dog crate trained? *

Has the dog had any professional training or behavior modification? *

If yes, please describe:

Has the dog lived with children? *

If yes, please give ages:

Has the dog lived with other dogs? *

Has the dog lived with other cats? *

Has the dog lived with other animals? *

*

Check this box in acknowledgement of the $50 for fixed or $100 for unfixed pet surrender fee to help offset care of this pet if accepted into the Adoption Program.

By submitting this application, I understand that application submission is the initial step of the surrender process and that there is no guarantee that my pet will be accepted. If my pet able to proceed through the surrender process, I understand that I will need to provide proof of ownership and proof of vaccination.