If for some reason you can no longer keep your dog, please complete this form so we can see if we can assist you. We only accept pets from within the 14 counties of the Upper Cumberland (Cannon, Clay, Cumberland, DeKalb, Fentress, Macon, Jackson, Overton, Pickett, Putnam, Smith, VanBuren, Warren, White)

Dog Surrender Form

"*" indicates required fields

Owner Contact Info

Please answer all questions and provide photos of the dog. If a question does not apply to you then please put N/A in that space. Filling out this form is NOT a guarantee that A.A.R.F. will accept your dog into our program. All dogs accepted into our rescue foster program must first pass a temperament evaluation.
Your Name*

Dog Info

Are you legally allowed to turn the dog over to A.A.R.F. (If from shelter, breeder or rescue group)?*
Has the dog been spayed or neutered?*
Does this dog have current vaccinations?*
Has this dog been tested for Heartworms in the last year?
Is the dog housetrained?

Is the dog crate trained?

Tell Us About This Dog

Is this dog good with:
Choose all that apply
Has this dog ever shown aggression:
Choose all that apply
Max. file size: 10 MB.
Max. file size: 10 MB.
Max. file size: 10 MB.
Max. file size: 10 MB.


We reserve the right to refuse acceptance of any animal. Acceptance is based on many criteria, one of which is space availability; another is matching the animal with a foster home which is suitable for their needs. By signing below, I certify that the information provided on this form is true and correct. I understand that a physical evaluation of the animal and a temperament test will be performed by an experienced rescuer and/or volunteer to ensure we feel the animal is rehomeable before we accept this animal into the A.A.R.F. program. If during the evaluation process we find that information contained in this surrender form to be false, we have the right to turn down acceptance of the animal that you are surrendering. I also understand that once I have given up the animal in question, I am in no way to have him/her back unless prior arrangements have have been made with us. I, the Owner, am surrendering all rights to this animal upon surrender to All About Rescue and Fixin Inc.
(Type Your Full Name)