Rehome Form Save A Life Canada Animal Rescue Society

Save A Life Canada Animal Rescue
Rescue Surrender/Rehome Application
We’re all about helping dogs. If you have or know of a dog that needs our help, please fill out the form below. It will be submitted to our volunteer intake coordinator, who will get back to you within a few days.
Please be aware that we’re a network of foster homes and volunteers without a shelter building, and with limited resources. We might not be able to take your dog into foster care – but there are always other options. You can submit a private adoption ad to our website, which receives a fair amount of traffic from Nova Scotia and New Brunswick areas. Chances are good that you’ll receive a response.
Applicant Name *

First Name Last Name
E-Mail *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date you need the dog to come into rescues care? *

Month Day Year
Dog's Name *
Dog's Age *
Dog's Breed *
Dog's Weight *
Spayed/Neutered? *

Yes No
Vaccinated? *

Yes No
How would you like us to contact you? *

E-Mail Phone
Are you the original owner of this dog? *

Yes No
Reason for surrender? *
Any medical issues with your dog? Please list all you can think of at this time. *
Please describe the dog's personality and behaviour in great details. Good with cats? other dogs? kids? housetrained? etc. *
Please upload a photo of your dog here.
Signature *

Clear
Should be Empty:

Save A Life Canada Animal Rescue