Thank you for considering Bluebonnet Animal Rescue Network as a temporary home for your dog.
If you think that Bluebonnet is your best option, please answer the following questions about your dog. The more information we can gather, the better we can determine if we can help.
Be sure to e-mail at least two good photos of your dog to BARN@lonestarmail.net and mention in your message that you have completed the surrender form online.
Animal Information Before you submit this form, please review the "Surrender Information" page on our website. You may find information there that causes you to make a different choice than to surrender your dog. Please check the box below to confirm that you have complied.
Animal's Name
Breed
Age
Gender
Color/Markings
Why are you surrendering this animal? *
Where did you get the animal originally?
Where does the animal currently live?
Choose one:
Inside
Outside
Both
Is the animal sterilized?
If yes, date of sterilization
Microchip brand
Microchip number
Are veterinary records available?
Vaccinations (type and date given)
Date of last heartworm test
Heartworm test result
Date last heartworm prevention given
Type of heartworm prevention given
Date last wormer given
Type of wormer given
Please list any known medical issues with the animal
Please list any past surgeries
Please tell us about the dog's overall temperament
If left alone in the house, is the animal destructive?
Does the animal show signs of separation anxiety?
Is the animal house trained?
Is the animal crate trained?
Has the animal undergone obedience training?
If yes, date of obedience training
Please list any behavioral issues of the animal
If Bluebonnet Animal Rescue Network agrees to accept the dog named and described above into rescue, then the owner agrees that ownership will be transferred and relinquished from the responsibility and control of the current owner named above to Bluebonnet Animal Rescue Network. The current owner assures Bluebonnet Animal Rescue Network that the dog has never bitten or nipped a person, including a child, and that all behavioral information has been fully disclosed in this form. Bluebonnet Animal Rescue Network reserves the right to hold the current owner responsible for any liability in connection with this dog, if a human bite or history of dog aggression was not disclosed in this form.
Once a new home has been found for the dog, Bluebonnet Animal Rescue Network will make every effort to respect the privacy and confidentiality of all parties involved in this transfer. Bluebonnet Animal Rescue Network will (1) not release the name of the dog’s former owner to the new owner and (2) not release the name of the dog’s new owner to the former owner. If such information comes to light, the former owner releases Bluebonnet Animal Rescue Network from any and all liability that could result from awareness of this information.
If you agree to the above statements, please type the word "yes" in the box below. Do NOT type your name. Anything other than the word "yes" in this box will be considered a "No" and your application will not be considered.
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