Animal Surrender/Intake Request

Surrender/Intake Request
If you need to surrender/rehome your dog, please fill out this form. We do ask for a donation of $125.00 per dog, that helps us take care of their vet visit.
Your Name*
Your Email*
Your Phone*
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Animal's Name*
Breed*
Color(s)*
Age*
Socialization*

Sweet and socialA little shy but warms up when you're niceVery shyDefinitely abusedFear biter
What is your reason for surrender?
is your dog up to date on vaccinations, heartworm testing, has it been altered (spayed or neutered)? If so, please describe.
Amount of donation offered to help us cover the cost of vetting for your pup.
Please take 3 good quality, photographs of your pup and send them.
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Please verify that you are human*
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