Please provide the following information to relinquish your purebred Newfoundland dog to Old West Newfoundland Club Rescue Corporation (OWNCR).
OWNCR agrees to provide quality interim care through volunteer foster homes and veterinary services until a permanent, loving home is found. All dogs that are accepted into the OWNC Rescue program are spayed/neutered before adoption.
The questions below help us assess how to best help your situation. By getting to know more about the dog we can better match a it to a new home and lifestyle.
First Name *
Last Name *
Name of spouse/partner
Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Email Address *
Best time to call
How do you prefer we contact you? *
Dog Information
What is your dogs name? *
Dog's age and or birthdate *
Are AKC registration or previous adoption papers available on your dog?
No Yes
Is your dog microchipped?
No Yes
* If yes, what is the chip number?
Dogs weight? *
Is the dog a male or female? *
Male
Female
is the dog spayed or neutered? *
No Yes
Describe the dogs color and markings *
Are you the first owner of this dog?
No Yes
How long have you owned this dog?
Have you tried to rehome this dog before?
No Yes
* If yes, describe situation
Was this dog obtained from a breeder?
No Yes
* If yes, please list breeder's name
Where did you acquire this dog from? Pet store, individual, shelter, or stray?
Behavior and Temperament
Is the dog good with cats?
No Yes
Is the dog good with other dogs?
No Yes
Has your dog ever growled when food or toys are touched or taken away?
No Yes
Is the dog afraid of storms?
No Yes
How does the dog react to being home alone?
Does the dog have any of the following habits? (check all that apply)
No Yes
Destructive chewing
Digging
Jumping/climb fences
Excessive barking
What is your dogs energy level?
Has this dog ever demonstrated aggression towards other dogs? *
No Yes
* If yes, please describe
Has this dog ever been in a fight with another dog? *
No Yes
* If yes, please explain injuries
Has this dog killed another animal? (please describe)
How does this dog react to livestock? (please describe)
Does this dog chase other animals? (please describe)
Does your dog growl at new people? *
No Yes
Has this dog lived with children? *
No Yes
Did the dog seek out children or avoid them? (please describe)
Does this dog snap or nip at people?
No Yes
* If yes, please explain the circumstances
Has the dog bitten a human? *
No Yes
Was the bite reported to city or county animal control? (location)
Was the dog quarantined?
No Yes
Please select your reason for surrendering your Newfoundland : *
Found abandoned
Aggressive towards small animals
Aggressive towards small Children
Allergies
Biting
Relationship/Marital split
Owner passed away
Other
Injured
Stray
Unable to Afford
Unable to Cope
Medical History
Veterinarian:
Phone number:
Date of last Rabies vaccine
Has the dog been tested for heartworm in the last year? *
No Yes
Is the dog on heartworm preventative? *
No Yes
* If positive, has it been treated by a Vet?
Does your dog currently on any medications? please list
Is your dog in need of Urgent Medical care?
No Yes
* If yes, Please explain
Please upload a photo of your dog here:
Additional information to help us get to know your dog
Is the dog housebroken?
No Yes
Is your dog comfortable in a crate?
No Yes
How many hours a day is your dog accustom to being alone?
Where does the dog stay when no one is home?
Where does the dog sleep at night?
Is your dog used to being brushed and bathed?
No Yes
Does your dog like to ride in a car?
No Yes
Has the dog been to any obedience classes? (where)
Does your dog walk nicely on a leash?
No Yes
Does your dog come when called?
No Yes
What commands or tricks does the Dog know? (list)
Does the dog like to swim?
No Yes
What are the dog’s favorite things?
What things does the dog dislike?
Is there anything the dog is afraid of?
Thank you for taking the time to fill out our form. Once received, someone will be in contact with you. If this is an emergency please call 1-(888) 988-6393
