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.
Pictures - Please upload pictures of head and body
File Upload

Cancelof
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:

Other dogsCatsAdultsChildrenFood/Toys
Which items do you have current records on for this dog?

4DX Heartworm Test ResultsSNAP Heartworm Test ResultsMedical ExamFecal Test ResultsDewormer AdministeredSpay/Neuter Certifcation/visible scar tatooRabies VaccinationDHPP VaccinationLeptospirosis VaccinationBordetella VaccinationFlea TreatmentHeartworm PreventativeFlea/Tick Preventative
What services is your agency able to provide prior to the transport if granted?

4DX Heartworm TestSNAP Heartworm TestMedical ExamDewormerFecal TestSpay/NeuterRabies VaccinationDHPP VaccinationLeptospirosis VaccinationBordetella VaccinationFlea TreatmentHeartworm PreventativeFlea/Tick Preventative
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?

NoYes but very limitedYes we will transport
Does your agency require fee to pull this dog?

NoYes
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:

3CLR Organization/Shelter Transfer Request

Pictures - Please upload pictures of head and body

If you do not hear from us on a timely basis, please feel free to email adopt@3clr.org AFTER you complete this form