Stonesriver Kennel Brittanys- 268 Brittany Lane, Manchester, TN, 37355 USA

931-222-9288

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    • Home
    • Menu
      • About
      • Meet our Brittanys
      • Q&A
      • Application and Info
      • Waitlist
      • Available Puppies
      • Puppies Previously Sold
      • Brittanys of the Month
      • SRK's Hunters
      • Shoppping Guide
      • ©BIRDIE
      • Whiskers, Tails & Scales
    • Reviews
    • Directions
    • Available for Rehoming
    • Surrender

931-222-9288

  • Home
  • Menu
    • About
    • Meet our Brittanys
    • Q&A
    • Application and Info
    • Waitlist
    • Available Puppies
    • Puppies Previously Sold
    • Brittanys of the Month
    • SRK's Hunters
    • Shoppping Guide
    • ©BIRDIE
    • Whiskers, Tails & Scales
  • Reviews
  • Directions
  • Available for Rehoming
  • Surrender

SRK Surrender of Brittany~Print, fill out and email to us

Owner Surrender Request

Contact Information


First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
  

County*

Country

Email*

Home Phone*

Work Phone
 

Cell Phone*

Alt Email

Text/Pager Email

Name of animal being surrendered:*

What is the animal's date of birth? If not known, please provide approximate age.*

What is the animal's gender?*

 Female or Male

Has the animal been spayed or neutered?*

 Yes or No

Last known heat cycle, otherwise please enter N/A.*

What is your dog's current weight? *

Current on vaccinations?*

 Yes or No

When are the next vaccinations due?*

Date of last heartworm test:*

Is the animal on heartworm preventative? If so, what was the date last given?*

Please provide the name of your vet/clinic/hospital and telephone number. Be sure to call the vet office granting an SRK representative permission to contact if needed. If no current vet, please enter N/A*

Reason for Surrender:*

Where did you obtain the dog? Please include their contact info so we can confirm there is no "return" requirement.*

Is the animal house trained?*

 Yes or No

Is animal crate trained?*

 Yes or No

Has the animal received any obedience training?*

 Yes No

Where does the animal sleep?*

What brand of food is the animal eating? When? How much?*

Animal prefers company of:
Choose all that apply: Men 

Women 

Children 

No preference 

Other companion animals 


Is the animal gentle with children?*

 Yes or No

Is the animal OK with other dogs?*

 Yes or No

Is the animal OK with cats or other animals?*

 Yes or No

Is the animal microchipped? If yes, please provide microchip provider and chip #.*

Does the animal jump or climb fences?*

 Yes or No

Does the animal dig out under fences?*

 Yes or No

Do you consider the animal an escape artist?*

 Yes or No

Is the animal OK in yard w/o supervision for short periods of time? If so, how many hours?*

If the animal does get out, does s/he respond when called?*

 Yes or No

How would you describe the animal's personality?*
Choose: 

Dominant 

Submissive 

Well-adjusted 

Socialized 


Does the animal bark or howl when left alone?*

 Yes or No

Does the animal suffer from separation anxiety?*

 Yes or No

Is the animal trustworthy when left alone in the house?*

 Yes or No

Does the animal know their name? Also, please list any specific commands the animal knows.*

Please list any of the animal's health conditions or medications. Also, please describe the animal's personality and tell us anything that might help us with placement even those things you think might be negative.*

Have you observed any particular fears, e.g. thunderstorms or behavioral problems, that need to be addressed?*

What are this animal’s favorite things? Playing fetch, playing with and chewing on toys, going for walks, cuddling, playing with other companion animals, etc.?*

By signing and submitting this form, I/we relinquish all rights of ownership of the Brittany listed above, to Stonesriver Kennel Brittanys, and do hereby certify to the best of our knowledge, that this dog has never bitten anyone. 

Further, it is understood that Stonesriver Kennel Brittanys was contacted with the express purpose of releasing our rights of ownership.  Stonesriver Kennel Brittanys agrees to accept responsibility for the care of said dog until such time as s/he is placed in an appropriate, loving home with approved adopters.  It is also explicitly understood that if, on the advice of Stonesriver Kennel Brittany's veterinarian, said dog cannot be rehabilitated to a state of good health then s/he may be humanely euthanized at the sole discretion of Stonesriver Kennel Brittanys. 

I/we also certify that the following information provided is as accurate and true as possible. 

Your typed signature below serves as your signature*


____________________________________________ Signature

___________________ Date Ex: (01/01/2025)

*=required
 

  • Home
  • About
  • Meet our Brittanys
  • Q&A
  • Application and Info
  • Available Puppies
  • Puppies Previously Sold
  • Brittanys of the Month
  • SRK's Hunters
  • Shoppping Guide
  • Reviews
  • Directions
  • Available for Rehoming
  • Privacy Policy

Stonesriver Kennel Brittanys

268 Brittany Lane, Manchester, TN 37355, USA

931-222-9288

Copyright © 2025 Stonesriver Kennel Brittanys - All Rights Reserved.

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