North Queensland Animal Rescue Surrender Application Form

(* indicates mandatory fields)

First Name *
Surname *
Phone Number *
Email Address *
How did you hear about NQAR? *
Name of dog being surrendered? *
Suburb where dog is currently housed? *
Breed *
Age *
What vet work has your dog had done? (please select all that apply) *	Desexed Microchipped Vaccinated (within last year) Wormed
If your dog has been microchipped, are they chipped to you? *
Microchip number? *
Describe your dogs personality *
Are there any health conditions or previous serious medical issues? *
Has your dog ever had any behavioral issues? eg. agression towards people, other animals? Escaping? Barking? *
Is your dog good with (please select all that apply) *	Cats Dogs Poultry Livestock Small animals Kids
What is the reason for re-homing your dog? *
Any further comments? *
Please upload a current photo of your dog *
Photo 2 *
Photo 3 *
By typing your name below you are electronically signing this agreement to acknowledge your acceptance of the following terms and conditions: - I understand that if/when I am offered a place for my pet with NQAR I will be surrendering ownership of the animal to North Qld Animal Rescue Inc. - I agree to hand over all vetting and ownership records to NQAR and sign over any microchips. - I understand that NQAR will not disclose my pets new owners details or location to me. - I understand NQAR is a volunteer organisation and they are not required to provide ongoing updates on the welfare of my dog. However inital updates will be passed along if provided by the new owners
By typing your full name in this box you are electronically signing this document and your agreement to be bound by the terms and conditions *

Please e-mail a couple of different photos of your pet to rehoming@nqar.org.au so that we can proceed in finding a suitable foster carer.