Pet Surrender Application

Name*
First Last
Address*
Street Address City State ZIP Code
Primary Phone*
Secondary Phone
Email*
Age

Are you willing to keep (Foster) the hound until a Forever Home is found?*
Until what date are you willing to Foster?*
MM slash DD slash YYYY
Please provide any additional information you think we should know:*
Would you be willing to make a tax-deductible donation, at the time of the hound's surrender, on behalf of the hound, which will go to offset his/her expenses and the expenses of other hounds in the care of BHRSC?*
How did you hear about Basset Hound Rescue of Southern California?*
Please attach a picture of hound:*
Drop files here or

Max. file size: 128 MB.
Please attach hound's vaccination records:*
Drop files here or

Max. file size: 128 MB.
BHRSC Pet Surrender Agreement*
Basset Hound Rescue of Southern California (BHRSC) requires all owners surrendering their dogs to Read, Acknowledge their Understanding of, and Agree to the terms of the BHRSC Pet Surrender Agreement. If you choose not to Read, Acknowledge your Understanding of, and Agree to the terms, BHRSC will NOT consider your dog for intake.

Please click on the following link to access a copy of BHRSC's Pet Surrender Agreement:
BHRSC-Pet-Surrender-Agreement
- I have Read, Understand, and Agree to the terms of BHRSC's Pet Surrender Agreement.
***Once BHRSC takes possession of your dog, you will relinquish all rights to the dog and will not be able to reclaim the dog for any reason. Do you understand and accept that upon surrendering your dog to BHRSC, you relinquish all rights to the dog and will not be able reclaim the dog for any reason?*

As your acknowledgement of your Understanding & Agreement to the terms of your dog's surrender to BHRSC, please type your Full Name In the text field above.

Pet Surrender Form

Step 1 of 9

One hound per form submission please.

If your hound has ever bitten another human or dog, you must also fill out the Behavior Questionnaire.

As your acknowledgement of your Understanding & Agreement to the terms of your dog's surrender to BHRSC, please type your Full Name In the text field above.

Please click on the Submit button below to complete your BHRSC Pet Surrender Application.