         Minnesota Pit Bull Rescue
         "Finding Solid Dogs, Solid Homes."

Owner Surrender Form

Please fill out the form below if you are looking to surrender a dog. Please note most owner surrendered dogs must be self fostered by the surrender. We do accept some into our foster program on a case by case basis.

Name:

E-mail:

Address, City, Zip:

Phone Number:

Any aggression toward humans:

Are you able to foster the dog until it is adopted:

Reason for Surrender:

Has the dog ever bitten another animal or human (yes or no):

Aggression toward other animals (yes or no):

Do you own the dog, someone elses dog, or stray dog:

How long has the dog been in your care:

Sex of Dog:

Name and Number of Current Vet:

Current on Rabies Vaccine (yes or no):

Spayed/Neutered (yes or no):

Age of Dog:

Breed of Dog:

Name of Dog:

Additional Info:

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