Return to Peaceful Paws Website
Peaceful Paws - Owner-Supplied Dog Information
Please please please give us as much information as possible about your dog. The more information we have, the better able we are to help you. Fill out required and non required fields, take some time to give us everything you can think of about your dog.
Owner Information
Full Name/Contact Name
First Name
Last Name
Organization Name
Owner/Org Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
E-mail
Dog Information
Dog Name
*
Breed
*
Please Select
Great Dane
English Mastiff
Neopolitan Mastiff
Borzoi
Bullmatsiff
Great Pyrenees
Greater Swiss Mountain Dog
Irish Wolfhound
Leonberger
Newfoundland
Saint Bernard
Scottish Deerhound
Tibetan Mastiff
Other
Mix
*
No
Other
If Other or Mix, please specify:
Age
*
Gender
*
Male
Female
Color
*
Please Select
Black
Fawn
Harlequin
Brindle
White
Blue
Mantle
Merle
Merlequiin
Fawnaquin
Porcelain
Brindlequin
tan/white
black/tan
Tri-color
red
gray (Not blue dane)
Other
Spayed or neutered?
*
Yes
No
Unknown
How long has this dog lived with you?
*
Does this dog have any known medical issues (please explain) THIS DOES NOT MEAN WE WON'T TAKE YOUR DOG, WE JUST NEED TO KNOW
*
Vet records are available
*
Yes
No
Vet contact info
*
Where did you get this dog?
*
From a Breeder
From a friend
From a pet store
From a shelter or Rescue
If from a breeder, shelter or rescue, please provide contact info
Why are you giving up the dog at this time?
*
Dog Personality
Has this dog growled at, grabbed or bitten (either now or in past)
*
Dog has growled at family member
Dog has growled at stranger
dog has air snapped at family member
dog has air snapped at stranger
dog grabbed (bruised skin) family member
dog grabbed (bruised skin) stranger
dog bit family member
dog bit stranger
dog bit family member more than once
dog bit stranger more than once
No known bite history
unknown
dog bit child under 5
dog bit child between 5-10
Please check all that apply
*
dog is living with small dogs
dog is living with large dogs
dog has met other small dogs well
dog has met other large dogs well
dog is living with female dogs
dog is living with male dogs
dog has met other female dogs well
dog has met other male dogs well
dog goes to a dog park frequently or ocassionally
dog barks and lunges at other dogs while on leash
dog has been in a fight with a large dog
dog has been in a fight with a small dog
dog has been in a fight with a female dog
dog has been in a fight with a male dog
dog has killed another dog
dog has not met other dogs socially
dog is unknown with other dogs
dog is walked in the neighborhood frequently
dog has not lived with another dog
dog has been in a dog fight with an unknown dog
dog has been in a dog fight with a dog with which it has lived
dog has been in a dog fight over a high value item (such as a bone)
dog has been in a dog fight which results in a human having injuries
How would you describe his reaction to other dogs?
*
curious
cautious
friendly
wants to play
barks excitedly
growls, hackles up
depends on the size of the dog
dpends on whether the dog is male or female
depends on whether the dog is on leash or not
lunges and tries to get to other dog
leaps excitedly in the air
tries to attack the other dog
ignores the other dog
never met another dog
Please check all that apply
*
dog is living with cats (or has lived with them in past)
dog chases cats
dog is not good with cats
dog has not been exposed to cats
dog is unknown with cats
dog has only been exposed to cats in the shelter
dog has killed a cat
Not good with cats outdoors
How would you describe dog's reaction to cats?
*
curious
cautious
friendly
wants to play
barks excitedly
will not leave the cat alone
tries to bite the cat
lives happily with one or more
indifferent to cat
no exposure to cats
Please check all that apply
*
dog is living with young children (under 6 years of age)
dog is living with kids aged 6-12
dog has been exposed to children under 6 yrs of age
dog has been exposed to kids aged 6-12
lived with teenagers
frequently interacted with kids under the age of 6
frequently interacted with kids under the age of 8
frequently interacted with kids under the age of 12
frequently interacted with teenagers
dog does not like young kids
dog barks at young kids
dog does not like kids running or riding bikes - barks and lunges
dog has not met kids under 6
dog has not met kids 6-12 years old
dog is unknown with kids
How would you describe dog's reaction to kids?
*
Playful
Jumps up
likes to nip at them
afraid of them
good with own kids, not good with strange kids
avoids them, tries to get away from them
shy around them, unsure
doesn't like them
barks at them
growls at them
barks at them if they are running or riding bikes
never met a kid
Reaction to People
*
good with men
good with women
good with strangers
afraid of men
afraid of women
afraid of strangers
doesn't greet strangers well
is aggressive with strangers
meets strangers enthusiastically
is cautious but friendly with strangers
unknown history
Barks and backs away from strangers
Barks and lunges at strangers
is crated when company comes over
is put away when company comes over
doesn't mind friends/relatives coming and going throughout the day
doesn't like people just walking in the house
loves his family, very affectionate with us
not very interested in people, even her family
really independent, doesn't really care if we are around or not
loves to snuggle on the couch and be part of everything
follows us from room to room and won't let us out of her sight
How would you describe dog's reaction to strangers?
*
Playful
Jumps up
likes to nip at them
afraid of them
good with own kids, not good with strange kids
avoids them, tries to get away from them
shy around them, unsure
doesn't like them
barks at them
growls at them
barks at them if they are running or riding bikes
Please explain further if needed (If dog has growled at or bitten anyone, please explain incidents here)
Is this dog housetrained
*
Yes
No
Sometimes marks in the house
Yes, except if he gets really scared or excited
Is this dog
*
very active, needs a lot of exercise
moderately active, a walk or two a day works well
not very active at all, couch potato
This dog
*
is walked in the neighborhood frequently
Can't be walked - reactive
is walked infrequently
has never been walked on a leash/rarely walked on a leash
used to be walked often but not lately
This dog
*
barks when outside
digs outside
is used to lots of activity i neighborhood
This dog
*
is used to visitors once a week or more
is used to visitors a few times a month
is not used to visitors
does not like visitors
loves visitors
is gated when there are visitors
On average, how long is dog left alone during day?
*
This dog
*
is crate trained
has free run of the house when no one is home
is gated in a room
is kept outside
used to be kept inside but is now outside
is kept in the garage
is an outside dog, has not been an inside dog
other (please explain)
When you get home after leaving the dog unsupervised, do you find,
*
nothing out of place. I guess he hangs out on the couch
sometimes he chews shoes or stuff we leave laying around
he scratches at the doors and windows to get out
he barks or cries unil we get home
sometimes we find sticky drool in his crate and his nose is bloody or scraped
sometimes he pees or poops when we're gone
he lives outside, so he's fine
This dog is
*
good on leash
good on car rides
gets sick in the car
happy to meet new people
concerned about new people
afraid of new people
barks and lunges at new people
happy to go to a dog park
has never been to a dog park
likes to walk in the neighborhood
not good on walks
not used to going anywhere outside of home
used to walking every day
likes to bark
likes to dig
Is your dog
*
independent
calm
friendly
happy
worried
afraid
clingy
energetic
jumpy, easily startled
nervous
fun loving
laid back
protective
loving
busy all of the time
Is your yard fenced
*
yes, 4 ft
yes, 5 ft
yes, 6 ft
yes, mixed height
partially
electronic
not fenced
other
Has your dog ever jumped the fence or does the dog try to dig out from under the fence
*
Yes, jumps often
Yes, digs
Yes, both
No, has not jump or dig
runs through an electronic fence
is your dog living in
*
big city
in town
in busy neighborhood
out in the country
in quiet neighborhood
Have you ever taken this dog to a training class?
*
Yes
No
If yes, where and how did it go?
Are you able to aproach this dog while she is eating?
*
yes
no
people can but not other dogs
dogs can but not people
If not, why not (what happens)?
What is this dog's favorite food or toy?
*
Are you able to approach the dog while she is eating her favorite food or has her favorite toy?
*
yes
no
people can but not other dogs
dogs can but not other people
If not, why not (what happens)?
What is your dog's best quality?
*
What is your dog's worst quality?
*
What is your dog's favorite thing to do?
*
What form of exercise did your dog get regularly?
*
Describe you dog's perfect day
*
Please provide any additional information that may be helpful
Pretend you had to write an ad to describe your dog. What would it say?
When do you need to place the dog?
*
Submit Initial Surrender Info
Print Form
Should be Empty: