Owner Surrender Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is the best time to contact you?

What is the best way to contact you?

Dog's Name (if known)

State the dog is located*

Where is the dog located?*

If you found the dog, or selected other, please explain below.*

Please tell us why you want to surrender this Brittany. Please be specific.*

What is the dog's gender?*

Is the dog spayed or neutered?*

Altered Date (if known)

Dog's weight in pounds. Approximate if unknown.*

Dog's height at shoulders in inches.*

Please select the dog's color.*

Dog's age, approximate if unknown*

Dog's birthdate (if known)

Please provide any additional physical characteristics about the Brittany here.

Is the dog microchipped?*

Microchip Manufacturer*

If you selected other, please let the microchip manufacturer here.*

Microchip number*

Is the dog up to date on vaccinations?*

If the dog is not current on vaccinations or if it is still intact, are you able to take care of those things?*

If no, please explain below.*

Has the dog been on heartworm preventative?*

When was the dog last tested for heartworm?

Please describe the condition of the dog's teeth.*

Has the dog had dental cleaning?*

Please select the date of dental work.*

Please provide any information regarding known or suspected medical conditions of this Brittany.*

ABR takes in dogs with medical problems all the time. If your dog has a condition that you're aware of, you could save us a lot of time and money by telling us rather than making us find out for ourselves.

Do you give consent for ABR to contact your Brittany's vet to obtain or verify his medical history?*

Veterinary Clinic Name*

Veterinarian Name*

First Last

Phone*

Please include a photo or two of the dog.

Drop files here or

Max. file size: 256 MB.

Owner Surrender Application

Owner Surrender Application

Explore Our Site

Dogs in Foster Homes

Connect With Us

The 2025 ABR Calendars are Available!