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 NameLast Name
E-Mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

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

MonthDayYear
Dog's Name*
Dog's Age*
Dog's Breed*
Dog's Weight*
Spayed/Neutered?*

YesNo
Vaccinated?*

YesNo
How would you like us to contact you?*

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

YesNo
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.

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Save A Life Canada Animal Rescue