Your Name (Firstname Lastname):

Your Email Address - NOTE: We will be contacting you via email concerning this Bullmastiff:

What Entity currently has the Bullmastiff in possession:
Animal Shelter Wandering the Street - Stray Breeder Pet Owner Medical Facility Other

If "Other", please specify:

Does this Bullmastiff have registration papers (either from AKC, CKC, etc.)?
Yes No

Has the breeder of this Bullmastiff been contacted?
Do Not Know Who The Breeder Is Yes No

What is the name of this Bullmastiff's Breeder?

Has this Bullmastiff been neutered or spayed?
Yes Do Not Know No

Has the Bullmastiff shown any aggression towards humans (growling, attempting to bite, bitten a human)?
Yes Do Not Know No

If this Bullmastiff has shown aggression towards humans, please explain the Bullmastiff's behavior and history:

Is the Bullmastiff animal aggressive?
Yes No Do Not Know

If this Bullmastiff has shown animal aggression, please explain the Bullmastiff's behavior and history around animals:

Is this Bullmastiff listed on the Internet or a Bulletin Board?
If yes, what is the Web Address:

Physical Location of the Bullmastiff:

What is the reason for surrendering this Bullmastiff to Rescue?

Description of the Bullmastiff, the environment they are in, physical condition, and any other information you could provide us in helping to safely retrieve this Bullmastiff into Bullmastiff Rescue:

Name of Bullmastiff:

Age of Bullmastiff:

If you are surrendering a Bullmastiff that is in your direct possession (this applies to both private owners and facilities such as an animal shelter, vet clinic, etc.), in order to expedite this process, please fill out both of these forms to turn in with the Bullmastiff:

• Print and Fill Out this Bullmastiff Profile Form - this will help us determine the best placement for the Bullmastiff to be placed.
• Print and Fill Out this Bullmastiff Release Agreement - this transfers ownership of the Bullmastiff from you to Bullmastiff Rescue.