Surrender Profile Form

PLEASE NOTE:  Colorado Shiba Inu Rescue (COSIR) has had to place a temporary hold on the intake of owner surrendered dogs. Please visit our Surrendering Your Shiba page for more information about this temporary hold and recommendations for alternative resources available to you.

Completing this Surrender Profile Form will ensure you are added to our waitlist, and contacted when the intake of owner surrenders resumes. We place dogs from the waitlist as appropriate homes become available vs. where they are on the list.

Contact Information

City, State

Basic Dog Information

Reason for Surrender

PLEASE NOTE: It's important for you to be honest and forthcoming about your dog’s history, health, and behavior, no matter how bad. The more we know, the better equipped we are to find the best possible home for your dog.

Home Environment

Living with other pets

Living with children