Dog Surrender Request Form | Forms | Cheatham County Animal Control

Address *

Please provide your full mailing address including city.

Dog(s) to Surrender *

Please provide detailed information on Dog(s) you need to bring in, including: Name, Age, Weight, Breed, and if they are up to date on vet care (Not being up to date does not affect our ability to help, but it helps us prepare for their needs) Note: WE CAN ONLY TAKE ANIMALS THAT RESIDE IN CHEATHAM COUNTY.

Reason for surrender

Please explain why you need to surrender this animal.

Has this dog ever bitten someone? If so, please explain. *

Is this dog friendly with:

Other Dogs

Cats

Children

Chickens/Livestock

Is this pet spayed/neutered? *

Is this pet spayed/neutered?

How long have you owned the pet? *

How did this animal come into your possession? *

Did you adopt this pet from a shelter? If so which one? If not, please describe where you acquired this animal.

Medical Issues

Please describe any medical issues or medical history. This does not affect our ability to take this animal, it just helps us prepare.

Preferred Intake Weekdays

Which days of the week would you prefer to schedule your intake appointment? (We are closed on Wednesday and Sunday)

Preferred Intake Time

What time of day would you prefer to schedule your intake appointment?

Morning (9am - 11am)

Afternoon (12pm - 2pm)

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