Dog Relinquishment Form Dog relinquishment form Fill out the form to apply to relinquish your dog to Second Chance. Your Name*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell PhoneEmail* What is your preferred method of communication?Our volunteers will do the best that they can to reach you using your preferred method, but please be aware that they may try other methods as well, so check your junk mail and voicemail!Dog DetailsName of dog*Do you own this dog?YesNoWhere did you get your dog?Breeder or Pet StoreStrayFriend or Family MemberFound on Internet/Social MediaAnimal Shelter/Humane SocietyName of ShelterSpayed/neutered?YesNoGenderFemaleMaleAgeBreedVaccination historyMedical historyOther than vaccinations. Includes dental history.Veterinarian(s) who provided this careVeterinarian's phone numberWhy do you need to rehome this dog?Has the dog ever had conflict with other animals? (dogs, cats, chickens, livestock, etc.)Has the dog ever bitten or shown aggression toward humans?Does the dog protect/guard anything? (food, property, toys, owner, etc.)Does the dog like children? If not, how does he or she display distaste for children?Does the dog have any fear issues or separation anxiety?Is the dog reliably housetrained?YesNoIS the dog reliably cratetrained?YesNoDoes the dog live inside, outside, or both?InsideOutsideBothWhat commands does the dog know?How many other animals are in the home? What kind(s)?What time frame do you have to find the dog another home?Attach a photo of the petOther notes or informationDISCLAIMER: Completion of this form does not guarantee placement in the Second Chance program. Completed forms will be considered by the intake committee, and we will contact you if we are able to accept your dog into Second Chance.