K9FW (PV) - Dog Donation Application 11 months

K9FW (PV) - Dog Donation Application 11 months - 4 years old

Date*

First Name*

Last Name*

Address*

State

Zip Code*

Phone Number*

Email Address*

Preferred Contact Method*

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Dog's Name*

Gender*

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Breed*

Approximate Age/Date of Birth*

Approximate Weight*

Dogs must be between 50 and 90 pounds

Approximate height to the dogs front shoulder*

Dogs must be between 22" and 27" tall from the floor to the front shoulder to meet our requirements.

Where did you acquire the dog?*

Is your dog up to date on medical?*

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Please upload medical documents and pictures of your dog*

Please upload your most recent medical records along with a picture of you dog. Medical records need to show all vaccine history along with an updated heartworm test.

Drag and drop files here or

Are you able to transport to one of our facilities?*

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Is your dog house trained?*

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Is your dog good around other dogs?*

Is your dog good around cats?*

Is your dog good around children?*

Please choose your dogs activity level.*

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Please provide any additional details we may need*

Send me a copy of my responses

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