Surrender a Westie

If you are reporting a westie in need, please complete as much of this form as possible or contact the rescue representative closest to your location. Whatever you do – please DO NOT take your Westie to a shelter. Your Westie deserves so much more. Shelter environments are very stressful on animals. They can be exposed to kennel cough, parvovirus and various other viruses and diseases.

Submitting the surrender information form does not constitute an agreement of any sort with the Canadian West Highland White Terrier Club Rescue. It is merely the initial step in the surrender process. A representative from Rescue will contact you shortly. All dogs must be free of contagious diseases and all possible records and paperwork must be submitted for review.

• Reports of any biting will be taken into consideration.
• All information must be reliable and any references, if possible, should be supplied.
• All rescues will be spayed or neutered as soon as deemed possible by a certified veterinarian, if not already done.
• Along with the Surrender Information Form, please complete the “Release of Medical Information and Veterinary Records” and forward it to your veterinarian.

If your Westie is considered for our Rescue, we will ask you to sign a Surrender Contract. We would also appreciate a Surrender Donation to help defray the costs of re-homing your Westie.

Please note the Surrender Donation is not for profit. No one involved with CWHWTC Rescue is paid. We are all volunteers who do this in our spare time. Vet fees are expensive and we depend on donations to help with our costs.

If your dog is not a West Highland White Terrier, please email intake@helpinghomelesspets.com

Surrender Information Form

Subject: * Westie Surrender E-mail Address: * Please attach a recent picture of your Westie Date * Your Name * Address, City, Province, Postal Code * Home Phone * How long have you owned your Westie? * Were there previous owners? * Yes No Unknown If previous owners, how many? May we give your phone number to approved applicants? * Yes No How did you hear of Westie Rescue? * What is the dogs name? What is the dogs age? If you are not sure, please estimate. * What is the Westies sex? * Female Male Is the Westie spayed/neutered? * Yes No Unknown What is the skin condition? How much does the Westie weigh? If unknown, please estimate. Why is the dog up for adoption? * Does the Westie have any allergies? * Yes No Unknown What is the dog allergic to? Is the dog on medication? * Yes No Unknown If so, what medications and what are they for? Are the Westies shots up to date? * Yes No Unknown How does the dog spend the day? * Indoor Outdoor/yard Tied Crated Kennel/run Please give details Likes Dislikes Current Brand of Food How much do you feed? Current Veterinarian Vets Phone Number Does the dog have papers? * Yes No Unknown Where did the Westie come from? * Breeder Pet Store Shelter/Rescue Other Breeders Name Have you notified the breeder? * Yes No What was the breeders response? Is the Westie house trained? * Yes No Unknown Is the Westie leash trained? * Yes No Unknown Is the Westie dog friendly? * Yes No Unknown Is the Westie child friendly? * Yes No Unknown Is the Westie cat friendly? * Yes No Unknown Is the Westie stranger friendly/mailperson * Yes No Unknown Is the Westie groomer friendly? * Yes No Unknown Is the Westie veterinarian friendly? * Yes No Unknown Is the Westie fine alone in house? * Yes No Unknown Is the Westie fine alone in yard? * Yes No Unknown Does the Westie like to go for walks? * Yes No Unknown Does the Westie chew furniture, etc? * Yes No Unknown Does the Westie bark excessively? * Yes No Unknown Does the Westie dig? * Yes No Unknown Does the Westie nip or bite? * Yes No Unknown Is the Westie aggressive? * Yes No Unknown Please explain Is the Westie shy? * Yes No Unknown Has the Westie received training * Yes No Unknown If Westie has received training, please describe. Is the Westie crate trained? * Yes No Unknown Will the crate be surrendered with the Westie? * Yes No Is there anything else we should know about this Westie? Verification Code: Enter Verification Code: * * Required

 

Release of Medical Information and Veterinary Records

 

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