3CLR Organization/Shelter Transfer Request

3CLR Organization/Shelter Transfer Request
Name of organization requesting the transfer to 3rd Coast Labrador Retriever
Name of Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pictures - Please upload pictures of head and body
File Upload

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Dog's Name
Is this name assigned by the shelter or previous owner?
Approximate Age
Intake Category for your organization
Any details known about the dog (e.g. why surrendered, where found, etc.)
Dog has been behavior tested with and successfully passed interactions with:
Which items do you have current records on for this dog?
What services is your agency able to provide prior to the transport if granted?
Any known medical concerns? (Tumors? Teeth? Orthopedic? Gastrointestinal? etc.)
Date you wish for the transfer to take place on
Has the dog been scanned for Microchip? Or been microchipped by your agency?
Does your organization have the ability to help with transportation?
Does your agency require fee to pull this dog?
If you answered yes above for the fee, please indicate the amount here
If you do not hear from us on a timely basis, please feel free to email adopt@3clr.org AFTER you complete this form
Should be Empty:

Pictures - Please upload pictures of head and body