Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

TELL US ABOUT YOUR DOG.

Is your dog a pure bred Labrador or Golden?

Labrador RetreiverGolden RetrieverOther

What is the dog's age?

Is your dog a male or female?

MaleFemale

What is your dogs name?

Is your dog spayed or neutered?

YesNo

Can you provide a spay or neuter certificate?

If your dog IS NOT spayed or neutered you can skip this question.

YesNo

How much approximately does your dog weigh?

Is your dog current on all their vaccines?

YesNo

Can you provide a current record and certificates of your dogs shots?

YesNo

Does your dog have any known medical issues? Please describe.

Is your dog housebroken?

YesNo

Is your dog crate trained?

YesNo

Is your dog friendly to other dogs?

YesNo

Is your dog microchipped?

YesNo

If answered YES to microchip question, do you have the chip number?

Is your dog cat friendly?

YesNo

Is your dog accustom to being around children?

YesNo

Does your dog currently sleep inside the house or outside of the house?

Where did you get your dog from?

How active is your dog?

HIGH HIGH ENERGYHigh energyVery active Medium EnergyLow EnergyMellowCouch Potato

How long have you owned your dog?

Does your dog walk on a leash?

YesNo

Has your dog ever bitten anyone or another animal?

Is your dog a barker?

YesNo

Does your dog chew or dig?

YesNo

Does your dog have separation anxiety?

YesNo

Why are you rehoming your dog?

Are you able to drive your dog to a WCLRR volunteer to have it evaluated?

YesNo

How soon do you need to surrender your dog?

ImmediatleySoon 1 -2 weeks3-4 weeksno rush

Are you able to provide a tax deductible donation to the rescue upon surrendering your dog?

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Please upload THREE current pictures of your dog. If you don't have any photos available right now you can also email them to surrender@wclrr.org. Make sure you have your name in the "Subject Line" so we can match it with this form. We must receive photos in order to proceed with your surrender request.

Do you have the microchip number? if yes please provide number

Dog Picture Upload #1

Dog Picture Upload #2

Dog Picture Upload #3

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WCLRR - Surrender My Pet

Personal Information

TELL US ABOUT YOUR DOG.

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