EmailMe Form - Pyr Paws N Fluffy Tails Rescue Surrender Form

Name *

First Last

Phone *

### - ### - ####

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please select one of the following options *

This is my personal dog

This dog is a stray that showed up at my house

Other

Why are you unable to keep your dog? *

Name of Dog *

Dog Gender: *

Age of Dog *

Is you dog spayed/neutered? *

Yes

No

Approximate Weight of Dog *

Breed of Dog *

Is the dog good with other dogs? *

Is the dog good with cats? *

Is the dog good with kids? *

Do you keep the dog indoors, outdoors, or both? *

Is your dog potty trained? *

Please tell us a little bit about your dogs personality? *

How much longer can you keep your dog? *

Please submit at least two different photos of the dog *

By signing this, I agree that once the dog is in the care of PPFT the dog is no longer mine and I agree to sign over all rights to the dog to PPFT. *