911RUFF.org Turn-In Form
911RUFF.org Turn-In Form
Please use this form if you wish to turn in a dog to RUFF.
Did you get the dog from RUFF?
Yes
No
Why are you putting your pet up for adoption?
Owner's Name
*
First
Last
Owner's Age
Owner's Email
*
Owner's Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Owner's Home Phone
*
-
(###)
-
###
####
Owner's Cell Phone
-
(###)
-
###
####
Breed of Dog (Please Do NOT Put Mutt or Mixed):
Pet's Name:
Do you know the dog's birth date?
Yes
No
If yes, what is the dog's birth date?
/
MM
/
DD
YYYY
Approximate Age:
Where did you originally get the dog?
*
How long have you owned this dog?
What is the dog's gender?
Male
Female
Is the dog spayed or neutered?
Yes
No
Unknown
Is the dog housebroken?
Yes
No
Dog's Weight (lbs):
Dog Breed:
Dog Color(s):
Any special markings?
Yes
No
If yes, what is/are the special marking(s)?
Any known fears?
Yes
No
If yes, what is/are the known fear(s)?
Basic obedience training?
Yes
No
Leash trained?
Yes
No
Any special likes?
Yes
No
If yes, what is/are the special likes?
Any special tricks or commands?
Yes
No
If yes, what is/are the special tricks or commands?
Any bad habits?
Yes
No
If yes, what is/are the band habits?
Does the dog have favorite games or toys?
Yes
No
If yes, what is/are the dog's favorite games or toys?
Check the term(s) that best describe(s) your pet:
Friendly
Destructive
Timid
Shy
Obedient
Playful
Aloof
Finicky
Demanding
Unruly
Loves Everyone
Submissive
Lazy
High Energy
Temperamental
Digs
Dislikes children?
Yes
No
Dislikes men?
Yes
No
Dislikes women?
Yes
No
Does your pet get along with other dogs?
Yes
No
Where has your pet spent most of its time?
Indoors
Outdoors
Has your pet been confined (kennel, chained, fence, etc)?
Yes
No
What brand of dog food does your dog eat?
What type of food is it?
Wet
Dry
Is your pet current on all vaccines?
Yes
No
Is your pet current on heartworm preventative treatment?
Yes
No
When was the last heartworm preventative treatment?
/
MM
/
DD
YYYY
Where did you purchase heartworm preventative treatments?
Is your pet current on flea preventative treatment?
Yes
No
When was the last flea preventative treatment?
/
MM
/
DD
YYYY
Where did you purchase flea preventative treatments?
Any other health problems or anxiety problems we need to know about?
Yes
No
If yes, what is/are the problem(s) or anxiety(s)?
What is the name/number of your veterinarian so that we may request the animal's health records?
Is there a Microchip?
Yes
No
Please check the box to authorize the release of veterinarian records - this form will not submit without this authorization.
*
I authorize the release of my veterinarian records.
Items we need you to bring in when you bring in the dog: proof of rabies certificate, proof of other shots, and the signature microchip form turn over sheet (if microchipped). This form will not submit without your agreeance.
*
I will provide these.
If you have a photo of the dog that you can upload, please upload it below. If you do not, once a photo becomes available, please email it to janice@911ruff.org