Relinquish Request Form

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Personal Information

Dog's Information

Basic information about your dog
Please include names listed on medical records
If stray, please provide crossroads, city, and state if possible
Please allow a minimum of 2 weeks to find placement.

Medical Information

establish any medical history
Parvo, Distemper, Rabies, Bordetella, etc.

Dogs Personality and Needs

This section helps us get to know your dog a little bit better in order to place in a compatible foster home.
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Additional


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