Re-Homing Your Dog

Re-Homing Your Dog

Anthem Pets Animal Rescue
NOTE: A Re-Homing Fee of $125 is required per dog.
Anthem Pets is a North Phoenix based rescue. If we are able to take your surrendered pet you will be responsible to transport the pet and its current food to either our veterinary partner, or to the pet’s new foster home.

I Agree
Dog's Name*
Sex*
Breed*
Spayed / Neutered?*
Microchipped?*
Dog's Age*
Your Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address*
City, State*
Zip*
E-mail*
Phone Number*

Area CodePhone Number
I will provide

Vet records for Spay/Neuter surgery and vaccinationsMicrochip records so the chip can be reassigned
I will provide

Vet Record for Spay/Neuter SurgeryVaccination RecordsMicrochip Information
Upload Spay/Neuter Record

Browse Files

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Upload Vaccination Records

Browse Files

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Upload Microchip Information

Browse Files

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Why are you surrendering this dog? (Please provide as much information as you can.)*
How long have you owned the dog?*
How many homes has the dog had?*
Where did you get the dog?*
Has the dog scratched or bitten a person in the last ten (10) days?*

YesNo
In what city?
If yes, did the bite break the skin?

YesNo
Has the dog ever*

BittenScratchedLunged or attackedNone of these
If Yes, who was bitten:
Was Animal Control involved?

YesNo
Please explain the circumstances:
Dog's Vet:
Phone:
Is the dog up-to-date on Vaccinations?*

YesNoUnknown
Please list any past or present injuries, treatments or other medical history
Please Check all the following that describe your dog*

Very activeCouch potatoBarks a lotQuietPlayfulFriendlyFence JumperShyLikes to be touchedAffectionateFearfulIndependentProtectiveAlways at your sideIndoor dogOutdoor dogNervousHouse-TrainedCrate-TrainedLikes menLikes womenWorked livestockUsed for huntingSeparation anxietyDigger
Has the dog lived with children?*

YesNo
If yes, what ages?
Would you recommend your dog live with children in the future?*

YesNoDon't Know, hasn't been exposed to kids
Has the dog lived with cats?*

YesNo
Would you recommend your dog live with other cats in the future?*

YesNoDon't Know, hasn't been exposed to cats
Has the dog lived with dogs?*

YesNo
Would you recommend your dog live with dogs in the future?*

YesNoDon't Know, hasn't been exposed to dogs
What are the dog's favorite activities or objects?*
What does the dog dislike or fear?*
Where is the dog kept during the day?*
Where does the dog sleep at night?*
Is there anything else a future owner should know about this dog?
What is the deadline to re-home your pet *
Photo of pet*

Upload a File

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You can upload a 2nd photo of your pet

Upload a File

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By typing my name and entering the date below I certify that I am the owner of the animal described above. I also authorize the release of any veterinary records regarding the animal should a suitable adoptable family be found. I certify that to the best of my knowledge I have disclosed all information about the animal concerning health, behavior, history and anything else that may affect the safe placement of the animal in a new home, and that all statements made above are true and corrrect.
My Name
Today's Date

MonthDayYear
Date
NOTE: Occasionally users of mobile devices or tablets will experience errors when completing the form. If you are unable to submit, please email Rescue@AnthemPets.org.
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