Dog Intake Request Form
★ Please note that this form is only a request and we cannot guarantee placement.★

Transfer of Guardianship of your dog into our care may require a care contribution fee of $100

Why do we ask for a Care Contribution fee?  Your Care Contribution goes towards providing food and general care for our cats, including veterinary care such as vaccinations, treatment, medication and required surgeries. The Alberta Animal Rescue Crew Society is a non-profit organization that is not government-funded and solely relies on public donations to operate.
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Animal Information
Dogs Name: *
Date of Birth: *
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Sex: *
Breed: *
Size: *
Spayed or Neutered? *
Up-to-date on Vaccines? *
Microchip or Tattoo? *
If Yes, Tattoo/Microchip #:
Where did you get this dog? *
How long have you had this dog? *
Reasons for wanting to transfer guardianship of your dog? *
What is your timeline for transferring guardianship of your dog? *
Any health concerns? *
Behaviour Concerns
Please be as detailed and honest as possible.
Has this dog ever nipped or bit? *
If yes, what was the last bite incident date?
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DD
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Sex of person involved?
Clear selection
Please describe the bite-site:
Number of Additional Bites?
What is the most damage your dog has ever inflicted on a person? Did they require medical attention?
Have you observed any triggers for this dog’s aggression/reactivity?
Describe any incidents with your children where the dog demonstrated aggression but may not have bitten:
Has this dog ever fought with another dog? How many fights have there been? Did either dog need to see a vet?
1st Fight Incident
(if applicable)
Breed:
Sex:
Clear selection
Describe any physical damage inflicted:
Basic Behaviour Information:
Please be as detailed and honest as possible.
Have you ever taken your dog to see a trainer? *
If yes, Name of Trainer/Service? For How Long?
Pick the Best Description of Dog
Please select at least one or use other to describe in your own words.
Collar Grab: *
Handling/Interaction *
Kids *
Dogs: *
Leash Work and Walks: *
Cats: *
Prey Drive (birds, squirrels, rabbits etc.) *
Resource Guarding - Food *
Confinement Training *
Separation Anxiety *
House Training *
Are there any triggers that you have found that startle, scare or upset your dog? *
Are there any requirements we should look for in an adoptive home for your dog? (ie: needs another dog, active home etc.) *
Is there anything else you would like us to know about your *
Owner Information
Your Full Name: *
Your Email Address: *
Your Phone Number: *
Your Full Address: *
I understand that the animal I am intending to transfer guardianship of will not be returned or adopted back to me for any reason. *
Required
I understand that transferring guardianship of my dog into AARCS' care requires a minimum fee of $100.00 CAD. *
Required
Is there anything that AARCS can do to help you keep the animal(s) in your home? Please share in detail. 
*
Please click SUBMIT below to complete this process.
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