Pet Surrender Application

Please answer the questions honestly and be as detailed as possible.  This will help is in determining if we will be able to accept your dog in to our rescue.  

Please note that shelter dogs in need will take precedence over any owner surrendered dog.  Due to the lack of foster home, in most cases, you will be required to "foster" your dog until a home can be found.

This information MUST be submitted along with a photograph before we will consider accepting your dog in to our program. Upon completing the below information, IMMEDIATELY email a picture of your dog.  No further action is required.   We will contact you as soon as possible.

If this is an emergency please contact the rescue coordinater at vicki@siberiansafehaven.com

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dogs Sex

 
 
You must provide SSH with copies of the dog’s entire medical history file PRIOR to the dog being accepted in to our care.
 
 
 
 
 
All Dogs MUST be current on all vaccines, be spayed/neutered and have a current heartworm test PRIOR to acceptance.
 
Does the dog have any current known medical issue that requires immediate attention

 
IS THIS DOG IS SPAYED/NEUTERED

 
Ever Required Emergency Care

 
What is your dogs likes ( Check all that apply )












 
Dogs dislikes ( Click all that apply )





 
Dogs habits ( check all that apply )










 
Temperament Towards Humans







 
Temperament Towards Other Dogs







 
Has dog ever bitten a human

 
Has this dog ever been involved in a dog fight

 
Is the dog crate trained

 
This dog is a



 
Has this dog ever been






 
 

Join Us in our " Save a Life" Campaign

Siberian Safe Haven is launching a " I Helped Save a Life" Campaign.  We will be offering special items for sale such as shirts, hats, mugs etc... Each item will be printed with the campaign logo      " I helped save a life".  100% of the profits will be used in saving a Siberian Husky or German Shepherd from a kill-shelter.

 

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