Owner Surrender "*" indicates required fields First Name*Last Name*Phone Number*Email* Address*Why are you surrendering this dog to Houston Beagle Rescue?*Dog's Name*Dog’s Gender* Male Female Is the dog spayed or neutered?* Yes No Age?*Weight?*Breed (Beagle / Beagle Mix / Other Hound)?*Color(s)?*Veterinarian Name and contact information?*Is the dog up to date on vaccinations?* Yes No Is the dog on heartworm prevention?* Yes No If yes, what kind and when was the last dose given?*Heartworm Status?* Negative Positive Unknown Is the dog up to date on flea/tick prevention?* Yes No Is the dog microchipped?* Yes No If yes, do you have the microchip number?*Is the dog good with other dogs?* Yes No Unknown Is the dog good with cats?* Yes No Unknown Is the dog good with children?* Yes No Unknown Has the dog ever bitten anyone?*Are there any aggression issues you are aware of (food/dog aggressive/doesn’t like to share)?*Anything else we should know?*Are you willing to sign and owner’s release if dog is accepted into our program?* Yes No If accepted into our program, are you willing to transport him to the veterinarian we use for our intake (North side of Houston)?* Yes No Required Photos: Upload full body picture of the dog*Max. file size: 5 MB. Upload photo of dog’s face*Max. file size: 5 MB. Upload photo of dog standing next to a person (this provides us with perspective on the dog’s size)*Max. file size: 5 MB. Upload additional pictures (not required)Max. file size: 5 MB. Δ
