How you can Help!!!
Seniors 4 Seniors Program
Can't Keep Pet?
Our Favorite Vets!!!
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* Required fields
E-mail Address *
Zip Code *
Home Phone Number *
Cell Phone Number *
Name of your dog *
Breed or Primary Breed Mix *
Aproximate age of dog *
Apriximate size of dog (in pounds) *
Sex of your dog *
Spayed or Neutered? *
Is your dog potty trained? *
Why are you giving up your dog? Please be specific... *
Are you the legal owner of this dog? *
If not, please explain...
Is your dog good with cats? *
Has your dog been living with children? *
If yes, what ages?
Is your dog good with women? *
Is your dog good with men? *
How is your dog when he/she meets strangers? *
Is your dog good with other dogs? *
Where was your dog obtained? *
If rescue, which one?
If other, please explain...
How long have you had your dog? *
Does your dog have ANY health issues? *
If yes, please explain...Please also include current treatment. *
Has your dog been an... *
Your dog eats... *
Dry Food Only
Wet Food Only
Brand of Dog Food *
Quantity of food and how often? *
Is your dog crate trained? *
Where does your dog currently sleep? *
Bed with you
Where he/she wants in the house
How much time does your dog spend alone during the day? *
Is your dog destructive when left in the house, alone? *
Where does your dog stay when you are not home? *
Indoors/Outdoors (Doggie Door)
Does your dog have any separation anxiety? *
If "yes" or "sometimes", please elaborate and give details.
When left alone, does your dog... *
What games does your dog enjoying playing? *
None: Couch Potato
Has your dog ever bitten or shown any aggressive tendencies: *
If yes, to whom, and under what circumstances (please be honest, you will be liable if this dog is placed and bites someone and you were aware that the dog had a history of biting)
Is your dog possessive of toys, food, or his/her people: *
How does your dog react if you approach his toys, food, etc.: *
Has your dog had obedience training, even a basic class: *
How does your dog respond to commands: *
When HE/SHE wants to...
What is the best way to get your dog to listen/obey: *
Are you able to foster your dog until a new home can be found? *
Possibly, depends on time frame.
If "yes" or "possibly", please give us the latest date you can keep the dog...
All statements made above are truthful to the best of my knowledge. I understand that I may retain liability if I have knowingly misstated the truth about my dog and he causes injury to humans, other animals, or property. I also understand that I am not entitled to any form of compensation for this dog. *
Do not accept
I understand that Love 4 Canines will need the following upon transfer of dog:A copy of dog's medical records, including spay/neuter certificate, rabies certificate, and proof of current DHLPP shot. *
I have read and agree to the
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