Surrendering your Newfoundland

Rescue & Referral Menu

NCNE Rescue and Referral Service

OWNER RELINQUISH FORM

(Please read carefully. This is intended to be a legally binding document)
Some information below is required so we can be sure to best help your dog. Please be sure to fill out the form in its entirety. Missed fields will prevent the form from submitting. Upon successful submission you will be brought to our confirmation page and receive an confirmation email. If you have any issues please don't hesitate to reach out to rescue@newfclubne.org.

For information or assistance, please email us at rescue@newfclubne.org or call (855) NEWFIES (855) 639-3437.

We understand that giving up your Newfoundland is a difficult decision, but we realize that in making this choice, you are thinking about your dog's best interests. We are here to help. Above all, please be honest; we understand your dog may not be perfect, but the more we know, the better we are able to find the right new home for your dog. Your dog deserves a second chance to find a wonderful home, and by providing us with the detailed information, you will help NCNE Rescue and Referral Service better accomplish this goal. Every dog is placed in an approved foster home until an appropriate permanent home is found. In all cases the best interests of the dog is paramount. We applaud your decision for giving your dog a second chance for a good life through this program. Note: We can only accept purebred Newfoundlands into NCNERRS.
Your Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How do you prefer we contact you?*
- Phone
- Email
- Either
Email*
Phone*
Dog's Name*
Gender*
Spayed/Neutered*
- Spayed
- Neutered
- No
Age*
Date of Birth
MM slash DD slash YYYY
Description of Dog (Color, markings)*
Weight*
Eye Color*
Hind leg(s) rear double dew claws?
If you need assistance determining this, please let us know.
- Yes
- No
- I don't know
How old was the dog when you acquired it?
Where did you acquire this dog?
- Animal Shelter
- Rescue Group
- Pet Store
- Breeder
- Other
Name and address of Shelter, Rescue, Pet Store or Breeder
If other please explain:*
Did you have a signed contract with this breeder?
- Yes
- No
If this dog was adopted through a shelter what is the agreement with the shelter should you not be able to keep this dog?
Are registration papers available?
- Yes
- No
Is your dog microchipped?
- Yes
- No
If Yes
- Home Again
- AVID
Microchip#
Name of veterinarian:
Phone
Dates of last vaccinations: DHPP
Dates of last vaccinations: Rabies
Dates of last vaccinations: Bordetella
Heartworm check
Date of last heartworm preventative pill:
MM slash DD slash YYYY
Has the dog ever been treated for ear infections:
hot spots/skin problems:
or other problems?(Please describe):
What brand of dog food does your dog eat?
How many times a day and at what time(s) is your dog fed?
How much do you feed?
Does your dog...
Like to ride in cars?
- Yes
- No
like to swim?
- Yes
- No
jump fences?
- Yes
- No
dig?
- Yes
- No
Let you take toys away?
- Yes
- No
Chase cars?
- Yes
- No
Urinate when scared?
- Yes
- No
Come when called?
- Yes
- No
Growl at strangers?
- Yes
- No
Is your dog....
Afraid of storms?
- Yes
- No
Used to children?
- Yes
- No
Good with children?
- Yes
- No
Good with cats?
- Yes
- No
Good with other dogs?
- Yes
- No
Used to being groomed?
- Yes
- No
Used to being walked?
- Yes
- No
Crate trained?
- Yes
- No
Obedience trained?
- Yes
- No
Where does the dog sleep?
Live during the day?
What commands does your dog know?
Is the dog housebroken?
Has your dog ever bitten anyone? If yes please explain
What does the dog like/dislike?
What are the dogs best/worst points?
Why are you giving this dog up?
Picture Upload*
Pictures: We require one full length side view, one full frontal, and one full frontal head/side photos. Note: Pictures MUST be submitted as .jpg attachments AND must clearly show the dog!
Drop files here or

Accepted file types: jpeg, jpg, png, Max. file size: 20 MB, Max. files: 8.
I/We certify that I/we own the above dog, free and clear, and that this dog has not shown any signs of aggression, or bitten anyone and that the statements above are true and accurate. I/We agree to indemnify and hold harmless the NCNERRS by, from and against all claims, suits, damages, liabilities and costs related to or in any manner connected with this dog. I/We further acknowledge understanding that the dog becomes the property of NCNERRS.
Signature

Surrendering your Newfoundland

Rescue & Referral Menu

NCNE Rescue and Referral Service

OWNER RELINQUISH FORM

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