Surrender Application


Pet Gender?
MaleFemale

Is the dog spayed/neutered?
YesNo

Is he/she up to date on vaccines?
YesNo

On heartworm preventative? (required)
YesNo

Is the dog good with other dogs? (required)
YesNo

Is the dog good with other cats? (required)
YesNo

Is the dog good with kids? (required)
YesNo

Does the dog have a microchip? (required)
YesNo

Is your dog kept indoors or outdoors? (required)
InsideOutside

Where did you get this dog? (required)
BreederShelterRescueOther

Is the dog crate trained?
YesNo

Does the dog have separation anxiety?
YesNo

Has the dog ever bitten anyone or another dog/animal?
YesNo

Note: Please send photos of your pet to info@aplmercer.com.