Happy Tails Canine Rescue Intake Request Form

Happy Tails Canine Rescue Intake Request Form

Note: All questions must be fully answered to be considered for intake. Completing an intake request does not guarantee a dog can be surrendered to the rescue.
Please answer the following:
Dog's Name:
Dog's Age (best estimate):
Sex:
Dog's Weight (best estimate):
Breed (if known):
Upload 2-3 clear photos in good lighting of the dog. The more photos, the better:

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How long has this dog been in your care?
Why are you wanting to surrender the dog? Provide as much detail as possible.
Has the dog had any prior professional training? Be as detailed as possible.
Has the dog shown any signs of aggression? Provide as much detail as possible so we can know any training needs.
Is the dog good with all adults:
Is the dog good with children:
Is the dog good with other dogs:
Is the dog good with cats:
The dog is heartworm negative and I can provide proof from a vet:
The dog is microchipped and I can provide the microchip number:
Microchip company and microchip number:
The dog is up to date on all vaccines and I can provide proof from a vet:
The dog is spayed or neutered and I can provide proof from a vet:
I am willing to foster the dog through your rescue until the dog finds a home:
I am willing to sponsor the dog's medical care and cover the cost of their vet bills:
I am willing to make a donation to the rescue to help cover expenses for the dog:
If you are willing to donate to the care of the dog, how much are you wiling to donate?:
Please read and aknowledge the following statement:

All intake requests are reviewed by our Board of Directors and voted on by active board members. While we wish we could help every dog in need, we receive numerous requests each week and must make decisions based on the resources currently available to our rescue. A request may be declined due to factors such as limited funding, a lack of available foster homes, or medical and behavioral needs that exceed our current capacity.

Our goal is to ensure that every dog accepted into our program receives the highest standard of care and support.On average, we spend approximately $300 per dog on food, preventatives, and supplies while they are in foster care. The average cost to fully vet a heartworm negative dog is around $500, while heartworm-positive dogs often require significantly more medical treatment and expense.

As a nonprofit rescue, we rely entirely on donations to provide this care.At this time, priority may be given to dogs that are already altered and current on their veterinary care. Dogs with sponsorships, committed donations toward their care, or owners willing to contribute to medical expenses may also have a greater chance of acceptance into our program.
Please select that you understand the above statement:
Your Legal Name:

First NameLast Name
Signature
Your Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Your Email:
example@example.com
Date

MonthDayYear
Date
How did you hear about our rescue?:
Should be Empty: