Request Assistance with Lost Dog

Get Toby Home, Inc.

Before you fill out this form, please email us at [email protected] or send us a private message to our Facebook page to see if we are able to provide support.

The counties we generally serve are Brown, Calumet, Kewaunee, Manitowoc, Outagamie, Shawano, Waupaca, and Winnebago.

If you are looking for assistance, please complete the Lost Dog Assistance Form. If outside our servicing area, we may know of another lost dog resource that is in your area. The information gathered here will help us understand the circumstances of the dog that is missing.

If you have questions about this, please send us a message via our Facebook page or visit our contact page.

Lost Dog Assistance Form

Please note: PLEASE ONLY FILL OUT THIS FORM IF WE HAVE DIRECTED YOU TO DO SO

Your Information

* Indicates required field

What is your relationship to the dog? *

Your Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

We will provide graphics for signs and flyers asking the public to call in sightings of your dog.
This phone number must be answered 24 hours a day.

Please verify the number that should be used on signs and flyers: *

Missing Dog Information

What is the name of the missing dog? *

What is the gender of the missing dog? *

Breed: *

Weight: *

Dog Size (select one) *

Age: *

Coat color: *

Eye color: *

Markings: *

Distinctive physical features: *

Please upload clear images of the missing dog, including a full body shot and close-up of his/her face, if possible. Since these pictures will be used publicly, please do not use pictures with people in them. If the file size is too large, please email the picture to [email protected] and be sure to include your name and missing pet's name in the email.

Pictures: *

Max file size: 20MB

Is the dog wearing an ID tag with current information? *

Yes No Unknown

Is the dog microchipped? *

Yes No Unknown

If yes, has the microchip company been contacted? *

Yes No

Is the dog wearing a collar? *

Yes No Unknown

If yes, what color is the collar? *

Was the dog dragging a leash or cable when it went missing? *

Yes No Unknown

If yes, please describe the leash or cable: *

Please describe any other items the dog was wearing: *

Date Lost *

COUNTY LOST IN *

Street address or nearest intersection where dog was last seen and details on how dog went missing. *

Nearest City, State *

What type of area is this? *

How did the dog get lost? *

Additional Info

In order for us to begin search efforts, you will need to read and sign our release of liability here and submit the signed copy to [email protected]

This Release of Liability and Hold Harmless Agreement (the “Agreement”) is entered into by and between Get
Toby Home, Inc. a Wisconsin non-profit corporation (“GTH”), and the undersigned person or persons in
consideration of the risk of injury while participating in “Lost and Found Dog Search Efforts” (the “Activity”)
and other related activities.

THERE ARE INHERENT RISKS OF DOG SEARCH EFFORTS AND OTHER RELATED ACTIVITIES. BY SIGNING THIS
AGREEMENT, THE UNDERSIGNED ACKNOWLEDGES THAT HE/SHE IS FULLY AWARE OF THE EXTREME
DANGERS AND CONDITIONS THAT CAN BE AN INTEGRAL PART OF SEARCHING FOR DOGS AND OTHER
RELATED ACTIVITIES INCLUDING:

(1) THE DANGERS OF SERIOUS BODILY INJURY, PROPERTY DAMAGE, AND DEATH, INHERENT TO
PARTICIPATING IN DOG SEARCHES AND DEALING WITH DOGS;

(2) THE PROPENSITY OF DOGS TO BEHAVE IN WAYS THAT MAY RESULT IN DEATH OR INJURY TO PERSONS ON
OR AROUND THEM SUCH AS BITING, OR AGGRESSIVE BEHAVIORS;

(3) THE UNPREDICTABILITY OF A DOG’S REACTION TO THINGS SUCH AS SOUND, SUDDEN MOVEMENT,
UNFAMILIAR OBJECTS, PERSONS, OR OTHER ANIMALS; OR

(4) NATURAL HAZARDS SUCH AS SURFACE OR SUBSURFACE CONDITIONS. THE UNDERSIGNED ALSO
ACKNOWLEDGES THAT LOST DOGS ARE NOT NECESSARILY TRAINED, CAN REVERT TO FERAL BEHAVIOR AND
HAVE AN INCREASED PROPENSITY FOR UNPREDICTABILITY, MISBEHAVIOR AND REACTIVITY TO STIMULI. GET
TOBY HOME DOES NOT GUARANTEE THE SAFETY OF ANYONE CHOOSING TO VOLUNTEER FOR LOST DOG
RESCUES OR HANDLE A LOST DOG FOR GET TOBY HOME.

BY SIGNING THIS AGREEMENT, THE UNDERSIGNED ACKNOWLEDGES THAT HE/SHE FULLY APPRECIATES THE
INHERENT RISKS OF DOG SEARCH EFFORTS, AND OTHER ASSOCIATED ACTIVITIES, AND HAS VOLUNTARILY
CHOSEN TO ENCOUNTER THEM, THEREBY, ASSUMING ALL RISKS ASSOCIATED WITH SUCH ACTIVITIES.

In consideration for his/her participation with Get Toby Home dog search efforts, and other related activities,
the undersigned agrees to release, discharge, and hold harmless Get Toby Home and its agents, employees,
officers, directors, representatives, assignees, members, owners, affiliated organizations, insurers, and others
acting on its behalf (collectively “Associates”) of and from all claims, demands, causes of action and legal
liability, whether the same be known or unknown, anticipated or unanticipated, due to Get Toby Home or its
Associates’ negligence. Furthermore, the undersigned agrees to reimburse Get Toby Home Inc., for its
attorney’s fees and costs incurred relative to defending against any such claim, demand, legal action, or cause
of action released hereunder. This Agreement is made on behalf of the undersigned as well as the
undersigned’s minor children or legal wards participating in Get Toby Home dog search efforts and other
related activities.

Submit