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

Please select one of the following options *

This is my personal dog

This dog is a stray that showed up at my house

Written Response:

Why are you unable to keep your dog? *

Name of Dog *

Gender: *

Male

Female

Age of Dog *

Is you dog spayed/neutered? *

Yes

No

Approximate Weight of Dog *

Breed of Dog *

Is your dog good with other dogs? *

Yes

No

Has not been around any

Written Response:

Is your dog good with cats? *

Yes

No

Has not been around any

Written Response:

Is your dog good with kids? *

Yes

No

Has not been around any

Written Response:

Does your dog spend most of his/her time: *

Inside

Outside

Mix of both

Written Response:

Is your dog potty trained *

Yes

No

Unknown, outdoor dog

Written Response:

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 agreement, I acknowledge and agree that upon the dog’s acceptance to Pyr Paws N Fluffy Tails Rescue, all legal rights and ownership of the dog will be irrevocably transferred to PPFT. I hereby relinquish and forfeit any and all claims, rights, and interests in the dog, fully transferring all responsibilities and ownership to Pyr Paws N Fluffy Tails Rescue. *

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