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Muttley Crew Rescue For German Shepherds & Other Homeless CrittersMimi and the Muttley Crew

Owner Surrender Request 

We realize what a difficult decision it is to find a new home for your German Shepherd Dog.  We recognize that you care enough to give your dog a second chance for a good life through our re-homing program.  In order to ensure that we find a new home where it will be loved and cared for, please answer the following questions as fully and as honestly as possible.  This allows us to better assess your dog's needs during this transition period.

If accepted into our program, we have experienced people that can work on training, medical or behavior problems. Please make us aware of any issues, no matter how minor, so that we can place the dog in an appropriate foster home where he can brush up the skills he he may need to be more adoptable. This helps insure your dog gets the best possible forever home.

If your dog is accepted into our program you will be required to sign over ownership of the dog to rescue.  If space in foster care is available, we will take possession immediately.  Space in foster homes, however, is always in short supply and we may request that you continue to care for your dog until an appropriate permanent home is found. In some cases we have to board the dogs while we are waiting a foster or forever  home. We will not release the dog to a shelter.

Thank you for ensuring that your dog has bright future ahead of him instead of facing the end of his life alone, feeling abandoned and unloved in a shelter.

Keeping Love Waiting - Military Pet Foster Project!If you are in the military and are trying to temporarily re-home your dog due to a pending deployment, please contact the Military Pets FOSTER Project  A Nationwide & Global network of individual foster homes that will house, nurture and care for the dogs, cats, birds, horses and all other pets For Deployed Military Personnel Only. 

If you need to consider other options, See A Complete List of Arkansas Rescues and Shelters Here.

See A Complete List of Texas Rescues and Shelters Here

 All questions are REQUIRED to be completely answered.  If it does not apply, type N/A or Not Applicable.

If you should have any questions or concerns, please do not hesitate to  contact us.

Contact Information - all fields throughout the form *MUST* be completed.

Your Full Name 

Email Address *REQUIRED* 

Retype Email to Confirm 





Daytime Phone 

Please include area code.

Evening Phone 

Include area code.

Best Time & Place To Call 

Information About Your Dog

Dog's Name 

Dog's Date of Birth/Age 

If unknown type in your best guess.


   Male Female


Is this dog microchipped?  If so what brand?  Home Again? Avid?  Other?
Please specify and list Microchip or tattoo number.

Is this a purebred German Shepherd?   Yes No

If NO, what breed or breeds do you think it is? 

Where did you get your dog?
(From a neighbor, friend, newspaper ad, pet store, breeder?) List Breeder Name & Phone Number if known.

All GOOD BREEDERS will always help if need to you re-home your dog.  Have you contacted the breeder?    Yes No

Is your dog spayed/neutered?    Yes No

Please list your dog's Veterinarian Name and Phone Number. (Please include area code.)

Do you have a copy of your dog's vet records?     Yes No

How long have you owned this dog? 

Why do you need to give up your dog?  Please elaborate.

Would you want to have your name and phone number released to the new adopter?     Yes No

Has this dog been an indoor dog or an outdoor dog?

Is the dog housebroken?      Yes No

How does he/she let you know he wants to go outside?

Has the dog ever been in a dog fight?  If so, please describe the circumstances.

How would you rate your pet's energy level?
Very Low  Low  Medium  High  Very High

How would you describe his/her personality?  (Check all that apply.)











Does this dog prefer men or women? Men Women  No Preference

What upsets the dog?

How does the dog act when alone?


Does your dog like to:

Ride in cars


Run away

Play tug-of-war

Rip Up Toys

Jump on people

Carry things in his mouth

Play "keep away"


Chew non-doggy items


Does your dog:
If the answer is YES or SOMETIMES, check YES and add a comment.

Jump fences?  Yes No

If so, how high?

Let you take food or toys away?  Yes No


Let you grab him?  Yes No


Show signs of possessiveness and if so, possessive of what specifically?

Bark when excited?   Yes No


Get along with cats?   Yes No


Get along with dogs?   Yes No


Bark or whine when left alone?   Yes No


Bark or growl at strangers?   Yes No


Hide behind you when meeting strangers? YesNo


Guard territory?   Yes No


Show fear of thunderstorms?   Yes No


Show fear of fireworks?   Yes No


Get on furniture?   Yes No


Go in a crate?   Yes No


Live in a kennel?   Yes No


Use a dog house?   Yes No


Get in garbage?   Yes No


Allow you to touch his ears?   Yes No


Allow you to touch his feet?   Yes No


Allow you to touch his mouth?   Yes No


Allow you to trim his nails?   Yes No


What parts of your pet's body does he NOT like touched by visitors/guests?

What parts of your pet's body does he NOT like touched by family?

What commands or skills does your dog know?



Walk on Leash

Shake Hands



Play Ball

Leave It

Any other commands or skills?

Has your dog been treated for or do you know if your dog has:

Ear Infections



Eye Problems

Bleeding Issues

Hip or Joint Problems

Please describe any other condition that requires medical attention.

Is your dog on heartworm preventative?   Yes No

Is your dog current on Rabies vaccination?   Yes No

Has this dog lived with children?   Yes No Unknown
If so, please list genders and ages. 

Describe how this dog has interacted with children.  Tolerate them?  Ignore them?
Walk away if they get too close?  Play with them?  Rough or gentle?

Where does your dog sleep?  

What brand and type of dog food does your dog eat?

Where does your dog stay during the day?

Where does your dog stay at night?

What are your dog's bad habits?

What are your dog's good points?

How is your dog corrected for unacceptable behavior?

When does your dog bark?

Has your dog ever bitten, snapped at, or attacked a person, dog, cat, or livestock? Yes No
If so, please describe the situation in detail.

What kind of home would be ideal for your dog?

What kind of home should be avoided?

What other information would be helpful for the new owners to know?

Clicking the Submit Button will return you to Muttley Crew Rescue's website
where you will be reminded to email us a digital photo of your dog if you have one available.

Submission of an a surrender request does not guarantee placement of a dog.

501(c)3 non-profit status pending

P.O. Box 520, Fouke, AR 71837
Serving Texarkana and surrounding areas.

Copyright 2011 Muttley Crew RESCUE

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