Do You Have a Doggo for the Ranch? - Imagine FURever Ranch

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

When do you need your dog to be placed at The Ranch?*

What is the current ownership of this dog?*

I own this dog and have reason to know about this dog's behavior.

I found this dog, or this dog is a stray.

I received this dog from a friend or family member, and I have limited information about this dog's behavior.

This is a dog currently placed in another rescue or shelter, and the shelter requests a transfer to Imagine FURever Ranch.

Gender*

Male (Neutered)

Male (Not Neutered)

Female (Spayed)

Female (Not Spayed)

What is your dog's name?*

If you are requesting more than one dog be placed with us, please fill out two surrender forms.

Dog's Age*

Dog's Weight*

Dog's Breed*

Please help us identify your dog ~*

Name, Color, Special Markings, Etc.

Veterinarian Name*

First Last

Veterinarian Phone Number*

Date of Last Vet Visit*

Date of Last DAP/DHP/DHPP Vaccine?*

You will be required to provide veterinarian documentation to verify/confirm the date this vaccine was administered.

Date of Last Rabies Vaccine?*

You will be required to provide veterinarian documentation to verify/confirm the date this vaccine was administered.

Rabies Tag Number*

Date of Last Bordetella Vaccine?*

You will be required to provide veterinarian documentation to verify/confirm the date this vaccine was administered.

Date of Last Heartworm Test?*

A Heartworm test is required before a dog can be given any heartworm preventative medications. We are located on 4 wooded acres which can expose our doggos to lots of fleas & ticks, which can lead to heartworm. No dog can be placed at the Ranch without a negative Heartworm test result or a plan for treatment in the case of a positive result.

Heartworm Test Result*

Negative

Positive

Date of Last Fecal Test?*

A fecal test assures your dog does not have intestinal worms that could pass to our other Ranch residents. No dog can be placed at the Ranch until (s)he can provide a negative fecal test result.

Fecal Test Result*

Negative

Positive

Is your dog currently on any medication?*

List of Medications*

If your dog is on medication, please make sure you will be able to bring at least 7 days of the medication when you come to the ranch to surrender. Also please list the type, what condition it treats, the dose, and the frequency/time of day it is given. If there are no medicines, please indicate "none."

Medical Issues*

Please list and describe any known medical issues.

Biting Behavior*

Has your dog even bitten any other animal or human? If yes, give dates and describe circumstances.

Help Us Get to Know Your Doggo*

Include any and all information about behavior, social temperament, personality, training

Why do you need to place your dog at The Ranch?*

Help us understand why you are no longer able to keep your doggo. We can best assist if we have any information available. Also note... we are not able to provide hospice placement at Imagine FURever Ranch.

Acknowledgement of Costs & Donation Request*

By signing here, you acknowledge the reality that pet ownership requires daily care and feeding, as well as preventative and medical care. You further acknowledge understanding that Imagine FURever Ranch is a non-profit rescue organization that relies entirely on donations to remain open, and that the requested donation amount to surrender a dog is $250.00

Acknowledgement of Surrender*

By signing here, you certify all information provided is accurate & up-to-date. You also acknowledge understanding that if you choose to surrender your dog to Imagine FURever Ranch, you will relinquish all claims to the dog & may not assert any ownership rights after placement. You further agree that if you place your dog with Imagine FURever Ranch, your dog may be humanely euthanized if behavioral and/or medical problems dictate that is necessary. Last, your signature below indicates agreement to release, indemnify and hold harmless Imagine FURever Ranch, its past, present & future agents from and against all liability, claims, suits, actions, judgments, costs, fees, attorney fees and damages caused by and/or arising from or in connection with this dog.

Upload Veterinarian Files

If you do not have these available to upload, please contact your veterinarian to send verification of the required vaccines & negative heartworm & fecal test results, with your dog's name in the subject line, to: lynn.imaginefureverranch@gmail.com

Drop files here or

Max. file size: 300 MB.

Photo

Please upload a photo of your dog.

Drop files here or

Accepted file types: jpg, png, Max. file size: 300 MB.

Name

This field is for validation purposes and should be left unchanged.

Surrender A Doggo to Imagine FURever Ranch