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  1. St. Joseph Animal Control and Rescue Dog Intake Form

  2. If you have found a stray dog, do not complete this form.  You may call the shelter at 271-4877 and make an appointment to drop it off.

  3. Owner Information

  4. If assistance is available to help keep your dog, would you be willing to discuss this with an Animal Resource Representative?​
  5. Animal Information

  6. Why are you surrendering this dog? (check all that apply)*
  7. Is your dog spayed or neutered?
  8. Is your dog microchipped?
  9. Has your dog every bitten a person?*
  10. Is your dog currently vaccinated for? (check all that apply)
  11. What type of food do you feed?
  12. When do you feed your dog? (check all that apply)
  13. Has your dog lived with or been around other dogs?
  14. What size of dogs has your dog been around? (Check all that apply)
  15. What was your dog’s reaction to them? (check all that apply)
  16. Has your dog lived with or been around cats?
  17. What was your dog’s reaction to cats? (check all that apply)
  18. Has your dog been around other types of animals? (birds, reptiles, livestock, etc)
  19. Describe your home environment
  20. Has your dog been around children?
  21. Where was the dog kept when nobody was home? (check all that apply)
  22. Is your dog comfortable being alone?
  23. Is your dog destructive when left alone in the house?
  24. How often was your dog kept outside?
  25. Is your dog housetrained?
  26. Is your dog crate trained?
  27. Is your dog possessive of? (check all that apply)
  28. Does anything frighten your dog?
  29. Where does your dog sleep? (check all that apply)
  30. Leave This Blank:

  31. This field is not part of the form submission.