Dog Surrender Form

Please contact us before submitting a surrender form. We require meeting the animal before we agree to accept the animal into our care.

We are 100% foster based and can only accept animals if or when we have a suitable foster home. Therefore we do not take aggressive dogs into our program. We are not set up for dealing with those types of behavior issues. We will dog test and food test to verify accuracy of your answers on this form prior to accepting the animal.

Completion of this form does not guarantee that we will accept the animal under TRHAP. It is to help us evaluate and determine if we think we can help place the animal. TRHAP expects to spend a minimum of between $150.00 to $1000.00 on food, shelter, medical and other care for each dog we take under our care. If you are able, please consider making a donation to help us care for and find the best home for the animal you are surrending.


We do not recognize vaccines that are bought at a store. We only accept vet records as proof of any vaccine adminstration.

I agree to allow TRHAP to contact the vet for a reference and any information we deem helpful or needed to make a determination in the adoption process. Please contact your vet to ok the release of information to us.


Answer yes or no for the following questions. Explain if needed.

We test dogs to verify.

We test dogs to verify. If yes, please explain.

We test dogs to verify.

If yes, please explain.



My signature below certifies that I am the owner of, or have authority to surrender to TRHAP, the animal described above. I hereby relinquish all rights of ownership and any right to information on the disposition of said animal. I also authorize the release of any veterinary records regarding this animal.

I certify that to the best of my knowledge I have disclosed all information about the animal concerning health, behavior, history and anything else that may the safe placement of the animal in a new home.

All statements made above are true and correct.

Please sign below: Required