Doberman Rescue of New Mexico

Doberman Rescue New Mexico © 2011 - 2012 - All Rights Reserved

Many thanks to Kameron Baumgardner for designing our website.
Website maintained by Website to the Rescue

Our foster homes are almost always full with a short line of dogs waiting to enter our system. If you must re-home your Doberman and would like us to help. Please fill out the form below and understand that you will likely need to keep your dog until a new home or foster home is available. That time period can last as little as two weeks and as long as 6 months for more, depending on the age and temperament of your dog. You will need to send us 3 GOOD pictures and a few paragraphs about his/her likes or dislikes and personality."

Please do not wait until the last minute to notify us that you must get rid of your dog immediately.

Owner Surrender Form

Name
Email Address
Physical Address
City, State, and Zip
Home Phone Number
Cell Phone Number

I have provided/pledged an owner surrender fee of: This cost helps defray the costs of medical tests, sterilization, and/or vaccinations (as required), or other costs associated with the care of this Doberman	(How Much?)
If this fee is not provided on the date of surrender, I will provide this fee by:	(What date?)

How long have you owned this dog?
Why are you not able to keep this dog?

What is the name of the Dog you are surrendering?
Is this dog Purebred or Mixed Breed?
If Mixed Breed, what other breeds is this dog mixed with?
Dog's Age
Dog's Gender
Spayed/Neutered (Please provide a copy of the dog's Spay/Neuter Certificate at the time of surrender)

Please provide the following Vaccination Information
Date when last vaccinated:
Where was the dog vaccinated (Vet's Name and Phone Number)
What vaccinations does the dog currently have? Check all that applies (To avoid endangering the dog's life by over-vaccinations, you must provide a copy of the dog's vaccination records. If you do not have a copy, please contact your Vet for a copy)	Parvo -- Expires when: Distemper -- Expires when: Rabies -- Expires when: Bordetella (Kennel Cough) -- Expires when:

Physical Appearance (Check all that applies)	Ears Cropped Tail Docked

This dog likes: (Check all that applies)	Children Other Dogs Strangers Water Riding in the Car Playing Cats
Additional Information/Comments about dog's "Likes"

Dog's Habits:	Housebroken Crate Trained Barks (more than necessary) Marks Jumps Fence Digs Chews
Additional Information/Comments about Dog's Habits:

Medical History
Is this dog under any kind of flea/tick treatment?
If Yes, what is the brand and when was it last applied?

Has this dog ever given birth to puppies?
If yes, please provide the following information:
How many litters?
Date of each litter:
How many pups in each litter?

Does this dog have any allergies?
If yes, please give details:

Has this dog ever had any surgeries? (other than Spay/Neuter)
If yes, please provide details as to when, why, and where:

Additional Information/Comments about Dog's Medical History:

Dog's Temperament:
Dog's General Temperament:

Has this dog ever bitten anyone?
If yes, please provide the following details:
Who was bitten?
When did this happen?
Why did the dog bite that person?
Did that person require medical treatment for the wound?
Was the dog quarantined because of this?

Dog's eating routine
What brand of food to you feed this dog? Dry food or Canned food?
How much do you feed?
When do you feed? (Once per day and time, twice per day and time)

Please provide any other personal habits, fears, and anything we should know about this dog: