Please fill out all boxes of the section that applies to you. If you cannot answer the question, put “n/a” for not applicable or “unknown” if you do not know the answer.
If possible, we would appreciate that a photo of the dog that you wish to surrender be uploaded at the bottom of the form. This helps us to find a potential foster home for the dog.
We will respond at our earliest convenience, but please keep in mind that we are a volunteer ran rescue. Be sure to double check your phone number and email address before submitting.
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