Please reach out via Facebook messenger to confirm that ADPR is currently accepting surrenders. Thank you! Dog Return/Surrender Form Adopter's Name Your Email Address Address City/State ZIP Code Mobile Phone # Work Phone # Dog's Name Intake # Dog's Age Dog's Breed Gender MaleFemale Dog's Size ToySmallMediumLargeExtra Large Color and Coat Description Microchip # Last Shots Rabies # Expiration Year Reason for Return or Surrender Dog's Interactions With Others: Men FineNot WellUnknown Older Children FineNot WellUnknown Dogs at Home FineNot WellUnknown Cats at Home FineNot WellUnknown Strangers at Home FineNot WellUnknown Women FineNot WellUnknown Younger Children FineNot WellUnknown Dogs in Public FineNot WellUnknown Small Animals at Home FineNot WellUnknown Strangers in Public FineNot WellUnknown Dog's Personality Traits FriendlyPlayfulShyFearfulRambunctiousDog AggressiveVocal/Barks/HowlsFood AggressiveChews on ThingsDigsJumps on FencesPlay BitesRunnerJumps on People Dog's Training Level House TrainedKnows CommandsWalks on LeashComes When Called Dog's Preferences Prefers OutdoorsPrefers IndoorsCalm EnvironmentQuiet Environment PLEASE READ THE FOLLOWING BEFORE AGREEING TO THE TERMS AND CONDITIONS Please note that by accepting our terms and conditions you are stating that any falsification of this report could hold you liable in any matters pertaining to personal and public damages/safety **I certify that I am the legal owner of the animal described above. I UNCONDITIONALLY RELINQUISH ALL RIGHTS of ownership of my animal. I understand that Alaska Dog and Puppy Rescue has the authority to humanely destroy the animal if deemed medically necessary or for the threat of physical injury. I also certify that the animal has not bitten (with aggressive intent) any person.** **I realize that by returning/surrendering this animal to Alaska Dog and Puppy Rescue, I hold no claim** **I authorize my Veterinarian to release all medical records to Alaska Dog and Puppy Rescue** Please Indicate Which Veterinarian Holds Your Dog's Medical Records SUBMIT
