Owner Surrender/ Found Dog for Adoption
Thank you for caring about dogs in our community. This form must be completed in its entirety. PACA cannot take dogs that have human aggression behavior issues.
FIRST STEP - Have you taken this dog to a vet to check for a microchip? IF NOT PLEASE TAKE THE DOG TO ANY VET TO CHECK FOR A MICROCHIP AND TRY TO CONTACT THE OWNER. Microchip number below if owner cannot be located:
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Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CELL Phone Number we can text you at
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Please enter a valid phone number.
Format: (000) 000-0000.
Date
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Month
-
Day
Year
Date
Name of Dog
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Age of Dog
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Breed(s) of Dog - best guess
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Weight of Dog
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Male or Female
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Male
Female
Is this dog Spayed or Nuetered?
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Yes
No
Don't Know
Which vaccines is this dog up-to-date on?
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Rabies
Parvo distemper
Bordatella
Don't know
Do you have medical records for this dog and, if so, will you provide them to PACA
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I don't have medical records
I have medical records and will provide them
How did you acquire this dog?
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Why are you giving up this dog? Be specific.
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Has this dog growled at anyone? If yes describe
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Has this dog bitten a human? If yes describe
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Has this dog fought with other dogs? If yes describe.
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Is this dog safe and well behaved around? (check those that apply)
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People it knows
Visitors to the home or strangers
Children
Other Dogs
Livestock
Cats
None of the above
Please describe this dog as you would describe it to a potential adopter.
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PLEASE READ and affirm: I understand that PACA is a foster based rescue. PACA does not have a boarding facility. We have a limited amount of foster homes to take dogs in need and those foster homes are usually full. I understand that I am solely responsible for keeping this dog as a foster dog in my home until an adoptive home can be found unless otherwise agreed upon with PACA.
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I affirm
PLEASE READ and affirm: I understand and agree that I must bring the dog to meet with a PACA representative for a temperament evaluation upon request. I understand that I will have to provide transportation for said dog to this meeting and to adoption events. I also agree to provide transportation for the dog to any veterinarian appointments at PACA's vet of choice.
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I affirm
PLEASE READ AND AFFIRM: I understand that if PACA pays to have this dog vetted (spay/neuter vaccines, microchip, heartworm test) and I decide to keep the dog or otherwise re-home the dog, or give the dog to the shelter, without getting an adoption fee for PACA, I am liable to PACA for the vet bills and/or the adoption fee.
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I affirm
I affirm that the information provided in this form is accurate and truthful to the best of my knowledge. I authorize a PACA representative to contact me regarding this dog. My signature indicates I agree with all requirements on this form
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People’s Anti Cruelty Association /Albuquerque Animal Rescue (PACA), a No-Kill rescue group, was founded in 1973. Our main mission is to rescue, rehabilitate and rehouse homeless dogs and cats. PACA has no shelter facility and relies on an organized network of foster parents who graciously take animals into their homes and hearts until permanent homes are found. PACA is a 501c3 non-profit organization. For more information, visit: http://nmpaca.org
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