Owner Surrender Form

Please fill out this form to the best of your ability. Your answers will help us to get to know the animal and give us some background inforamtion. This will ensure we are able to place in a new home that is best matched with his/her personality and needs.

Surrender Form

Owner’s Information


Dog’s Information – General

Is your dog(Required)

Dog’s information – Medical

Dog’s information – Behavior

Does this dog have any of the following behavioral issues? Please explain each issue. (Please be honest, it will let us know what things we should work on with the dog)

How does this dog respond to:

Dog’s information – Training

Please understand that you completely give up the ownership and all right to this animal when you surrender it to Sophie’s Circle Dog Rescue.

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We would greatly appreciate it if you can make a donation to Sophie’s Circle toward the vet care of your dog. We run our rescue solely on donations. Any amount would be greatly appreciated. An average dog without ANY health issues, costs us at least $150.