What is your dog's name, sex and age?*
Why do you have to place your dog*
What is the name and phone number of your veterinarian*
List any health issues that your dog may have*
What are the expiration dates for your dog's rabies, bordatella, and distemper shots? *
Do you provide your dog a monthly flea/tick and heartworm preventative medication?
Has your dog been tested for Lyme and Heartworm in the past six months? If not, are you willing to take your dog to the vet to perform this test?
Has your dog ever bitten anyone? If so please explain the circumstances.*
Is your current dog spayed or neutered?
Can you pet or take food away from your dog while they are eating? Can you take toys or treats away from your dog?*
Has your dog had any formal obedience training? If so please provide the name and phone number of the trainer.*
How is your dog around young children under the age of 10? What are the ages of children that your dog has been actively exposed to?*
Does your dog live with or has your dog lived with other dogs?*
How is your dog with other dogs outside the home? Would you classify your dog as dog friendly? Please explain interactions with other dogs.*
Is your dog cat friendly? Does he/she live with a cat?*
How is your dog with being alone in the house, riding in a car, and thunderstorm or fireworks? Does your dog exhibit separation anxiety?*
Where does the dog spend the day alone and the evenings? (Inside, outside, in a crate, etc).*
Please tell us about any health issues related to your dog. Is he/she in relatively good health? Are there any issues related to legs, hips or back? Does your dog have any ongoing medical issues such as allergies, EPI, etc. that will need to be addressed on an on-going basis?*
Please tell us about any unusual habits or behavior a potential adopter should be aware of. This can include separation issues, not comfortable around certain types of people, children. *
Please tell us anything special about your dog that will help us find the best home.*
Have you reached out to any other rescue group or shelter about placing your dog? If so, what organization(s) have you contacted.*
What date do you need to place your dog by?*