SURRENDER FORM

Florida Yorkie Rescue ~ Florida Morkie Rescue ~ Florida Maltese Rescue

We speak for those who cannot speak.

©Florida Yorkie Rescue.

A COPY OF OUR OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800) 435-7352 WITHIN FLORIDA. OUR REGISTRATION NUMBER IS CH38364. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.

WE ARE CURRENTLY NOT ACCEPTING DOGS INTO OUR RESCUE PROGRAM HOWEVER WE HAVE A LARGE GROUP OF RESCUE ORGANIZATIONS THAT WE WORK WITH. YOU MAY STILL COMPLETE THE SURRENDR FROM BELOW AND WE WILL TRY TO FIND YOU ANOTHER REPUTABLE RESCUE AGENCY TO HELP YOU.

Please complete this form if you are considering the surrender of your Yorkie. We realize this form is a bit lengthy but please fill it out as completely as you can. It will help us better suit the needs of your pet.

Surrendering your dog is an irrevocable decision; once surrendered, you release your rights as a pet owner. Florida Yorkie Rescue does not return or readopt dogs to the surrendering owner. However we also know that surrendering your pet can be an emotional experience and we will do everything we can to help facilitate a comfortable transition for both you and your pet.

Please be aware that if you are surrendering a bonded pair of dogs, we do everything we possibly can do to make sure that your bonded pair are placed in the same new household. To date we have a 99% adoption rate for bonded pairs. Sometimes it may take a while but these little bonded pairs deserve no less than to be adopted together into a new loving family.

A representative from Florida Yorkie Rescue will be in contact with you as soon as possible.

IMPORTANT - Please know that we have a large Transport Team of trained volunteers who work for Florida Yorkie Rescue. It can take hours or even days depending on the location to arrange a safe successful transport to our primary location. Please... if you are contacting your friends and relatives to see if any of them would be interested in adopting your dog, DO NOT CONTACT US until all of those options have failed. Far too frequently we spend hours arranging a successful transport only to be told by the owner that they gave their dog to a neighbor, a friend, a relative.... meanwhile we spent precious time arranging transport for you when we could have been spending that time for another dog in serious need. Please be respectful of our time.

BECAUSE OUR FORMS SHOW UP DIFFERENTLY ON EACH DEVICE,

YOU MAY HAVE TO SCROLL DOWN A BIT TO FIND THE SURRENDER FORM. THANK YOU.

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Home Yorkies for Adoption Application Surrender Form Volunteers FAQ Donations Reviews SOS

First and Last Name:
Street Address:
City, State and Zip Code:
Home Phone Number:
Cell Phone Number:
Email Address:
Dog's Name:
Dog's Age:
Dog's Date Of Birth:
Male or Female?:
Current Weight:
Breed:
Click all that applies:	Had pet since puppy Adopted pet as an adult Someone gave me my pet Adopted pet from another Rescue Purchased from a Breeder Purchased from a Pet Store
Is your pet microchipped?
Check all that applies:	Ears are up Ears are down Short tail Long tail Short hair Medium hair Long hair Will need normal grooming Just had pet groomed Heavily matted & dirty
Reason for surrender:
How long have you owned your pet?
What is the name of the dog food you are currently feeding your pet?
Is your pet on monthly Heartworm Treatment? If so, what brand?
Date of last dental cleaning?
Is your dog housebroken?
Is your dog crate trained?:
Where does your dog sleep at night?:
Is your dog leash trained?:
State any health issues here:
If there are health issues, please state the care currently being given.
Date of last Vet Visit
Veterinarian's name, address and phone number.
May we call your vet?
Is your dog current on vaccinations?
Spayed or neutered? (fixed)
Is your pet child friendly?
Is your pet friendly with cats?
Has your pet ever done any of the following?	Growled Snarled Bitten Shown aggression Food aggressive Toy aggressive Aggressive towards Dogs Aggressive towards Cats Aggressive towards Kids
Are you willing to make a donation to Florida Yorkie Rescue? FYR is dependent on donations to provide the necessary health care to our rescues.
May we refer your request to another reputable group if we are unable to help you?
Can you email us a photo of your pet? If so please send it to floridayorkierescue@yahoo.com or text it to 772-291-8101.
Any additional comments you wish to make?
Please type in your signature. (We have a large Transport Team. It can take hours to arrange a safe successful transport. If you are trying to re-home your pet on your own, DO NOT CONTACT US until all of those options have failed. Far too often we are told by the owner that they gave their dog to a neighbor, a friend, a relative.... meanwhile we spent precious time arranging transport for you when we could have been spending that time for another dog in serious need. Please be respectful of our time.)