How did you hear about us *
Please enter your dogs name. *
Dog's Sex *
Please enter your dogs age. *
Dog's color and markings. Please tell us if the dog has double dew claws *
Does the Dog Have AKC Papers:
Is this pet spayed or neutered?
Choose one:
Yes
No
If the dog came from National Great Pyrenees Rescue or Great Pyrenees Rescue Society, please list the dog's name at the time of adoption, the date and what state the dog came from (list N/A if not applicable): *
If the dog came from another rescue or shelter, please list the name, city, state and contact information for that organization (list N/A if not applicable):
If the dog came from a breeder, please list the name, city, state and contact information for the breeder (list N/A if not applicable): *
If the dog came from a pet store, please list the name, city, state and contact information for the store (list N/A if not applicable):
Your reason (s) for Surrendering the dog: *
How long have you had this dog? *
Is the dog an inside dog or outside dog
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Where does the dog sleep *
How is the dog contained?
Choose all that apply:
Invisible
Yard Completely Fenced
Crate
Chain
Roams
Will the dog run if off leash?
Has the dog ever escaped or jumped a fence?
Is the dog crate trained?
Is the dog House-Trained?
Will the dog walk on a leash quietly?
Does the dog come when called?
Does your dog safely get along with cats?
Does your dog safely get along with other dogs?
Does your dog safely get along with children?
Does the dog safely get along with strangers?
Is the Dog Bothered by the Presence of Others (Animals or People) While Eating:
What Is the Dog Fed? (Please Indicate Type of Food and Brand Name, e.g., Purina ONE, Pedigree Large Breed, etc.): *
Would You Describe the Dog As:
Choose all that apply:
Sedentary
Active
Is the Dog Destructive in the Home?
Please be honest. It will only help the dog in the future.
Choose all that apply:
Yes
No
If You Answered "Yes" to the Above Question, Please Explain: *
Does the Dog Become Anxious When Left Alone:
Choose all that apply:
Yes
No
If You Answered "Yes" to the Above Question, Please Describe Your Dog's Anxiety *
Is There Any History of Aggressive Behavior Against People or Animals:
Choose all that apply:
Yes
No
If You Answered "Yes" to the Above Question, Please Describe the Aggressive Behavior: *
Please tell us everything you can about the dog's history, personality, quirks, etc. *
Does the dog have arthritis
Does the dog have diabetes
Does the dog have hip or leg problems
Does the dog have other health problems
Please explain the health problems *
Date of last DHLP Vaccination *
Date of last rabies vaccination
Date of last Bordatella Vaccination *
Date heartworm preventative was administered or date of last heartworm test *
Date of last fecal exam *
Veterinarian's name *
Veterinarian's phone number
How many people reside in your household *
Ages of children *
Do you currently own other dogs
If you answered yes, please list breed, age, sex, and whether neutered/spayed *
Do you currently own other pets
If yes, please list type, sex, and age *
How long can you hold the dog you want to surrender *
Will you help transport the dog
Please contact your vet and authorize him or her to release information to Great Pyrenees Rescue Society. Please send a digital photo of the dog by email to info@greatpyreneesrescuesociety.org.
Processing of dogs without digital photographs will be delayed until a photo is received.
Please note this is not a transfer of ownership form. That form will be provided at the time of the dog's surrender. At that time, you will also need to supply vet records and AKC papers, if any. Use the submit button below to submit your completed form online.
To email the form, send to info@greatpyreneesrescuesociety.org. To fax, send to 1-855-fax-gprs.
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