Shelter Surrender Form

Fields marked with an * are required

Shelter Information

Medical History

Please provide details for all that apply.  If the dog has been vaccinated by your facility, we will ask that you provide copy of the records and the label on each vaccine given upon intake.

Temperament and Handling

We know shelters are often pressed for time and resources; however, the more information that is provided with the dog the more likely we are able to intake it.  The more information we have the more likely we’ll be able to match a dog with an appropriate foster.

Please test for general handling, dog to dog (preferably with more than one dog), and food/resource guarding or aggression.

General Results

Other Information

Adopt: adopt@indianabulldogrescue.com
Email: info@indianabulldogrescue.com
PO Box 1049
Shelbyville, IN 46716