Dog in Need

Important - Please email at least one picture of your dog or dogs to applications@carolinapoodlerescue.org

We specifically take in poodles and poodle mixes.

Dreamweaver Farms is a limited entry facility that does not euthanize for space once animals are accepted into our life saving programs. About half of our dogs come from owners who can no longer care for them or owners who have passed away and whose family can not care for the dogs. At CPR we understand that lives sometimes change and we are committed to working with our relinquishing families to find the best possible new situation for that dog.

In working with owners who must give up their dogs, one of the things we’ve learned is that it is in the dog’s best interest to go to our farm to seek their new home. While many owners want to maintain the dog in their home, it is very difficult for a relinquishing owner to work with potential new owners. It’s also easier for a dog to do a meet and greet with their new family without the pressure of seeing their previous family sad or upset.

We do not do courtesy cross postings for families who wish to maintain the dog in their home.

If you would like CPR to take in a dog, please complete the following questionnaire. Our intake coordinators will be in touch.

If you have multiple dogs, please fill out a separate form for each dog.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

*=required

Why are you looking for a new home for this dog?*

Name

Breed(s)

Age (list birth date if known)

Weight

Height

Gender

Male

Female

Spayed or Neutered

Spayed	Neutered
Not Altered	Unsure

Date of last vet visit

Date of last rabies

Date of last distemper/parvo vaccine

Date of last bordetella vaccine

Date of last heartworm test

Date of last heartworm preventative

Date of last flea/tick preventative

List any medications

Health Problems

Addison's Disease	Cushing's Disease
Diabetes	Epilepsy
Hard of Hearing or Deaf	Heart Condition
Missing Eye(s)	Missing Limb(s)
None	Other (list)
Poor Vision or Cataracts

If other, please list / explain

Name of Vet

Name of Clinic

Vet Clinic Address

Vet Clinic Phone Number

Previous Vet Name

Previous Vet Clinic Name

Previous Vet Clinic Address

Previous Vet Clinic Phone Number

Can you provide copies of all current and previous medical records? (If not, we will contact your listed vet(s) for records.)

Yes

Has this dog ever bitten another dog?

Yes

If yes, please explain & did the bite draw blood?

Has this dog ever bitten a human?

Yes

If yes, please explain

Has this dog lived with cats?

Yes

Has this dog lived with children under 12 years old?

Yes

Has this dog lived with other dogs?

Both	Large
Neither	Small

Is this dog house or crate trained?

House	Crate
Both	Neither

Where does this dog spend most of his/her time?

Both inside and outside	Inside - in crate or gated area
Inside - loose	Inside - other
Outside - dog house	Outside - dog run
Outside - fenced yard	Outside - other

Where does this dog sleep?

What food does this dog currently eat?

Is there a behavior trait or traits that we need to be aware of?

Where is the dog currently located?

What is your time frame for giving up your dog?

Are you able to transport this dog to our farm in upstate South Carolina (near Spartanburg)?

Yes

Carolina Poodle Rescue requests a minimum donation of $49 with each surrendered pet. Are you willing and able to make this donation?*

Yes

*=required