Florida Sharpei Rescue - Owner Surrentder Form

Dedicated to providing a safe haven to abandoned, neglected and abused Shar-Pei throughout Florida and the Sunbelt region.


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Since we are a 501c3 not for profit rescue adoption donations are tax deductibe and a receipt will provide with adoption paperwork.

No matter how you spell it SharPei, Shar-Pei, Shar Pei or Chinese Shar-Pei this is a great breed and may be just what you are looking for as a lifetime friend and companion.

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Florida Chinese Shar Pei Rescue

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Please note: We are only able to consider purebred dogs for surrender. We cannot address or respond to incomplete questionnaires. We ask several questions geared toward helping us determining if a suitable foster home presently exists that could take in your dog providing we agree to accept it into our rescue organization.

We will also require pictures of your Shar-Pei prior to making any suggestions or recommendations. Multiple pictures would be ideal but at least one side view full body shot will be required. Pictures can be send as email attachments to info@floridasharpeirescue.com. Make sure and mention your name and your pets name in the email and that the images relate to your Emergency Owner Surrender application.

We Can Only Consider Pure Bred Shar-Pei!

We Must Have Pictures Of Your Shar-Pei Before
We Can Consider Your Application!

Please answer ALL questions on this application.

Personal Information	* Required Fields
First Name: *
Last Name: *
Address 1:
Address 2: (Optional)
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Email Address: *
Dog's Information
Dog's Name:
Dog's Age:
Dog's Sex:	Male \| Female
Dog's Coat Type:	Brushcoat \| Horsecoat
Dog's Coat Color:
Dog Neutered/Spayed:	Yes \| No \| Unknown
Dog Heartworm Positive:	Yes \| No \| Unknown
Last Vaccinations Date:
Last Rabies Vaccinations:

List any Heartworm and Flea & Tick Preventatives Used:

Vet or Clinic Contact Information:

Specific reason(s) you wish to surrender your Shar-Pei: Be as thorough and HONEST as possible.

Is your Shar-Pei Dog Friendly?:
Is your Shar-Pei Cat Friendly?:
Has your Shar-Pei been exposed to or raised with children?:
Is your Shar-Pei accustomed to leash walking or to a yard?:
Does your Shar-Pei usa a Doggy Door?:
Has your Shar-Pei ever bitten anyone or shown aggression toward adults or children?:
Additional information you would want a new owner to know about your dog:
Time frame to re-home your dog:
Best time to contact you:
What steps have you already taken to rehome your Shar-Pei prior to contacting FSPR for Emergency Surrender assistance?:

You are aware that we can only consider pure bred Shar-Pei:	Yes \| No
You are aware that we must have pictures of your Shar-Pei to consider your request:	Yes \| No
FSPR Code:
Additional Questions or Comments: (Optional)

Adoptable Shar-Pei

Looking For Their Forever Home

» CLICK HERE TO VIEW OUR AVAILABLE DOGS!

"We are a 501c3 not for profit rescue. A copy of the official registration (CH 26657) and financial information may be obtained from the Florida Dept of Agriculture and Consumer Services by calling toll-free (800-435-7352) within the state. Registration does not imply endorsement, approval, or recommendation by the state."