Surrender Application

Please read all our information on Surrendering a Saint before filling out this form.

Re-homing a Saint Bernard is an arduous process, and not all Saints are eligible for our Rescue. Please be aware that since we only take Saints into private foster homes, we are limited on the number of intakes we can do at any given time. It is not unusual for CSBR to have a month or longer wait list for incoming Saints. Also, a surrender fee will be assessed based on the expected financial impact of the Saint.

If you must Surrender your pet, please fill out this form about the pet you wish to surrender:

Information about you

Name *

First and Last

Spouse's Name

First and Last

Address *

City *

State / Province / Region *

Zip Code *

Phone *

Email *

Why are you needing to surrender your dog? *

How soon do you need to surrender your dog? *

Today

Tomorrow

This week

This month

Information about the pet being surrendered

Pet's Name *

Pet's Age *

Pet's Date of birth

Is your dog *

Rough coat (longer hair)

Smooth coat (shorter hair)

Size of your dog *

Pet's Sex *

Female

Male

Is your dog Spayed / Neutered? *

Intact (can still breed)

Spayed

Neutered

If your dog has not been spayed/neutered there will be a $150 surrender fee. If you can not afford the surrender fee, please continue to ll out the form and we will call you to discuss it.

What is the name of your vet? *

Is your dog up to date on shots? *

Yes

I don't know

When did your dog last receive shots?

Does this dog have any medical problems that you are aware of? *

List any medical issues you are aware of (e.g. stiffness, limping, sores, lumps, bumps) *

Is your dog taking any medications? If yes, list all medications and reasons. *

Please let us know the name of the shelter/breeder/rescue place of purchase where you obtained your dog. *

How long have you had this dog? *

Additional information about the pet you are surrendering

Is your pet healthy? *

Excellent health

Good health

Poor health

Terminally ill

Does your dog get along with others?

Check all that apply - Do not check if you are not sure.

Does your dog currently live with other animals? If so, what animals?

Have you experienced destructive tendencies? *

Yes

Chewing household objects, breaking fences, etc

Does your dog jump a fence?

Yes

If your yard is fenced, list material and type (e.g., 4-foot chain link, 6-foot privacy). If you do not have a fence, please list “no fence” or “no yard” as applicable.

Does this dog show interest in escaping the yard? If yes, please list exhibited behavior(s) (e.g., jumping, climbing, digging, sneaking through gate).

When you are home, is your dog? *

Outside in a pen / run

Outside using a dog house

Outside on a chain or overhead wire

Outside in a fenced yard

Is con ned to the garage

Inside in a crate

Inside anywhere he / she wants

Con ned to a specific part of the house

Inside/outside, has a doggy dog

When you are away from the house, this dog stays:

Outside in a pen / run

Outside using a dog house

Outside on a chain or overhead wire

Outside in a fenced yard

Is con ned to the garage

Inside in a crate

Inside anywhere he / she wants

Con ned to a specific part of the house

Inside/outside, has a doggy dog

Is your dog house trained? *

Brand name of the food you are feeding your dog?

How much is this dog eating at each feeding?

Does he/she show any food possessiveness toward people or other animals? If yes, please explain.

Is your dog crate trained? *

Yes

How often do you walk your dog?

How is his behavior on leash? *

Does your dog walk well on a leash?

Do you walk your dog with:

When confronting a stranger, this dog:

Loves everyone

Is fearful

Is aggressive

Describe this dog’s greeting manners with people:

Is he/she friendly with both men and women?

If no, please explain.

Has your dog shown either fear or aggression? Please explain:

How is he/she with other dogs?

Please be as thorough as possible here!

How does this dog behave toward cats?

(Note that outdoor and indoor behavior may differ.)

Has your dog ever bitten a person or child? If so, please explain?

Is he friendly with children?

If yes, describe the setting and list age of children, and describe his reaction. If no, describe his negative reaction.

Has your dog ever bitten another animal? If so, please explain? *

What commands does this dog know? (sit, down, stay, come, go to bed, off, others)

Does this dog do any of the these?

Get on furniture

Counter surf/steal food

Run away

Scratch destructively or obsessively at doors/windows or pull down window coverings

Play nip or get mouthy

Jump up on people

Show interest in chasing bike

What kind of home do you think would be best for him/her?

Please be as specific as possible.

Please, send us images of your dog at cosaintrescue@gmail.com

All Information above is true to my best knowledge. *

Yes

I relinquish all rights of ownership of this animal to the Colorado Saint Bernard Rescue. I understand that this is not a guarantee of placement. I understand that is may take a few weeks for the Colorado Saint Bernard Rescue to take my dog as Shelters dogs come first and there is a waiting list.

Please type your name to varify the information about is true. *

I understand that there is a surrender fee of $150 if my dog has not been fixed (can still breed). *

I will have my dog fixed before I surrender her/him

Yes

My dog is not spayed/neutered and I can not afford the fee

My dog is already spayed/neutered

If you are human, leave this field blank.