Surrender — Cocker Spaniel Rescue

We accept that everyone’s situations change, and that a dog may no longer fit in your household.

We are here to talk through any questions or concerns before you make this final difficult decision. Cocker Spaniel Rescue Qld are able to come to you, to collect the dog, talk through any concerns, and obtain a detailed history to ensure your furry friend finds the right home.

We welcome all spaniel types and spaniel cross breeds.

Unfortunately, for the safety of our foster families, we cannot accept dogs that exhibit aggressive behaviour towards people or have a history of biting.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Dog or Dogs Name/s ?

Dogs Date of Birth

YYYY

Dogs Age

Sex

Male

Female

De-Sexed?

Yes

How long has the dog lived with you?

Where did you obtain the dog?

Are you the legal registered owner? If not, do you have written permission to surrender the dog/s?

Please explain why you are relinquishing your dog:

What food is your dog currently eating?

Are your dog vaccinations current? what date?

Worming Date?

YYYY

Heartworm? date?

YYYY

What is the name of your veterinary clinic?

Does your dog have any medical concerns?

Where does your dog spend the day?

How many hours is your dog left home alone?

Where does your dog spend the night?

What is your dog’s exercise routine?

Is your dog house trained?

Can your dog use a doggie door?

Has your dog ever escaped from the yard or house?

What is your dog’s favourite game/activity?

Does your dog have food aggression? If yes please explain.

How does your dog generally show affection?

How does your dog generally greet strangers in the home?

How does your dog greet strangers outside of the home or in general?

Does the dog enjoy car travel?

Does the dog like swimming?

How does your dog greet other animals outside of the home or in general?

What commands/special tricks does your dog know?

Have you and your dog ever worked with a behaviourist, dog trainer, or other Professional?

Has your dog had any experience with children? If yes, what ages?

Please explain any behaviors that the new adopters will need to be aware of.

Do you believe your dog has separation anxiety, please list the symptoms:

Is your dog destructive in your home?

Has your dog ever growled at you or anyone else?If yes, please explain

Has your dog ever bared his teeth at you or anyone else?If yes, please explain:

Has your dog ever snapped at you or anyone else?If yes, please explain

Has your dog ever bitten you or anyone else?If yes, please explain the incident(s):

Has your dog lived with other animals?If yes, please list species of other animals and how they get along.

Has your dog ever fought with another dog?If yes, please describe the situation:

Has your dog ever injured another dog? If yes please explain

Does your dog have any fears, and if so what are they?

What does your dog do when he/she is frightened?

Is your dog sensitive about being handled in any way? If yes, please explain, including the dog’s reaction:

Please use the space below for any additional information you would like to share

Surrender Form