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Dog Surrender Form

★ This form is only a request and we cannot guarantee placement ★ Thank you for filling out our surrender form- we understand that making the decision to surrender an animal is very difficult. Please note that we do not accept walk-in surrenders as we need time to prepare a foster home for each dog we take into our care (we do not have a facility that can house dogs and we rely on a limited number of foster homes). Please do not bring your dog to our shelter without approval from one of our team members confirming we are able to intake them. We also strongly recommend contacting other rescues as well, just in case they are able to intake your dog sooner.

Dog's Basic Information

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Max. file size: 5 MB, Max. files: 5.
    YYYY slash MM slash DD
    Spayed or Neutered?(Required)
    Up-to-date on Vaccines?(Required)
    Microchip or Tattoo?(Required)
    Does your dog live outdoors?(Required)

    Behavioural Information

    Please be as detailed and honest as possible.
    Has this dog ever nipped or bit a human?(Required)
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      Sex of other dog involved

      Training Experience

      Please be as detailed and honest as possible.
      Have you ever taken your dog to see a trainer?(Required)

      Pick the Best Description of Dog

      Please select at least one or use "Other" to describe in your own words.
      House Training(Required)


      Leash Walking(Required)
      Prey Drive (birds, squirrels, rabbits etc.)(Required)
      Separation Anxiety(Required)

      Resource Guarding (Please use "Other" to describe resource guarding of toys, people, etc)(Required)

      Owner Information

      Your Email Address(Required)
      I understand that the animal I am surrendering will not be returned or adopted back to me for any reason.(Required)

      You are the lifeblood of our work on behalf of animals.

      You are the lifeblood of our work on behalf of animals.

      As a non-profit organization, the Victoria Humane Society depends entirely on donations from kind-hearted people like you. Every month, we rescue literally dozens of dogs and cats, and sometimes other small animals, many from horrific circumstances such as neglect, starvation and abuse. The associated costs of rescue are significant, from arranging transportation for the animals out of remote communities and into our care, to emergency medical bills to save animals lives, to spay and neuter costs, vaccinations, hospitalizations, medications and on-going food costs and incidentals. Monthly and one-time donors are literally our most critical form of support. We thank you for donating what you can today.

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