Thank you for reaching out to Grey Face about rehoming your senior. By filling out this form, we'll get a better idea of your dog's health, behavior and temperament. Please answer honestly — we are aware that no dog is perfect, and your animal’s issues will not necessarily prevent Grey Face from being able to accept your dog. The more we know, the better job we can do of finding the best possible home, and your honest answers will help us determine whether we have a foster with adequate experience to care for your animal and any special needs.
Once you submit the form, a team member will be in touch with you to talk more about your dog and whether Grey Face can help. Please, be patient with us as we are 100% volunteer based. If you do not hear from us within 7-10 days, please check your spam folder or email us directly at intake@greyfacerescue.org.
If you have any questions not covered here, please email intake@greyfacerescue.org. Thank you for considering Grey Face to help with your rehoming. We appreciate that you are taking such care to help your animal.
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Cell Phone
What is your animal's name? Does s/he have any nicknames?*
What date would you prefer to have the animal removed from your home? (Please note: Being a foster-based organization, we cannot guarantee any animal will be accepted into our program by any date.)*
Breed(s)*
Male or Female?
Animal's age*
Is your animal spayed or neutered?
Size
Are you the owner of this animal? If not, what is your relationship to this animal?*
Why do you need to rehome this animal?*
If this animal is a stray, how long has it been in your possession? (If this does not apply, please enter n/a.)*
How long have you had this animal?*
Where did you get this animal?*
How many homes has this animal had?*
Is this animal microchipped?
Has this animal ever:
If the animal has bitten, did it break skin? Please explain the circumstances.*
Has this animal bitten within the last 10 days? If yes, please state who was bitten, on what date and in what city. *
Does your animal have any allergies, medical conditions and/or required medications? If yes, please describe the conditions in more detail, including monthly cost for any medications.*
Please describe any hearing or vision problems your animal may have. (If none, enter n/a.)*
Please tell us how your animal can handle stairs. (Example: No stair home is ideal, goes up and down them like a young pup, etc.)*
Has the animal ever suffered serious illness?*
Has the animal ever sustained major injuries?*
What vet clinic was the animal last at? Please list name, phone number and the approximate date.*
When was the last time the dog was tested for heartworm? If this surrender form is for a cat, disregard.*
When was the last time your animal had a dental done by a vet?*
Please check anything the animal is current on:
What type/brand of food does the animal eat, and how often?*
Does your animal have any special dietary needs?*
What are the animal's favorite foods or snacks?*
How was the dog trained?
How do you exercise your dog, and how often?*
Generally describe the dog's nature (pick all that apply).
Is the dog housetrained? If so, how long can s/he hold it?*
How does your dog alert you when s/he needs to go outside?*
Is your dog comfortable and relaxed in a dog crate?*
How long can the dog be trusted at home alone?*
What type of house has the dog primarily lived in?
How does the dog react to strangers/new people?
To your knowledge, has the dog lived with children? If so, what ages?*
Would you recommend this dog live with children in the future? *
To your knowledge, has the dog lived with cats?
Describe the dog's interactions with cats.*
Would you recommend the dog live with cats in the future?
To your knowledge, has the dog lived with other dogs?
How does the dog react to other dogs? (Pick all that apply.)
Would you recommend the dog live with other dogs in the future?
Please check all compatibility qualities that apply:
Does the dog have any problems in the following areas (pick all that apply).
Does your dog have any favorite activities or special toys/objects?*
What are the dog's grooming needs?
Is there any part of your dog that s/he does not like to be touched? (Examples, feet, ears, tail, belly, etc.)*
Is your dog afraid of thunderstorms? If yes, what does the dog do during a thunderstorm? *
How does the dog react to riding in a car?
Is there anything your dog dislikes or fears?*
Where is the dog kept when nobody is home?*
Where does the dog sleep at night?*
Please list any tricks/commands or special skills your dog can do.*
Please provide any additional comments you feel may help us find the perfect home for your dog, including what kind of home you think would be ideal.*
By submitting this application, I certify that the information contained in this application is true and complete. I understand that false information may be ground for immediate dismissal of this application. I authorize GFR&R to verify any or all of the information listed above. I understand that GFR&R is a managed-admissions rescue organization and that my pet may not be accepted for admission. I also understand that if my animal is accepted for admission, although GFR&R goes above and beyond in its care, GFR&R has the right to humanely euthanize any animal that becomes unadoptable during its time with GFR&R, at the sole of discretion of Grey Face Rescue & Retirement.
Enter your full name to certify agreement with the statement above:*
Birth Date (dd/mm/yyyy)*
Today's date (dd/mm/yyyy)*