Home
About
Volunteer
Volunteer Info
Volunteer Application
Feline Foster Application
Canine Foster Application
News
2020 Pet Portrait Palooza Gallery
2021 Pet Portrait Palooza Gal...
Adopt
Adoption Process
Dog/Cat Adoption Application
See Our Dogs
Reduced Dog Adoption Fees
See Our Cats
Contact
Feline Intake Request Form
Canine Intake Request Form
Local Animal Resources
Donate
More...
Use tab to navigate through the menu items.
Log In
0
Canine Intake Request Form
First Name
Last Name
Email
Phone
Street Address
City
Region/State/Province
Postal / Zip code
Country
arrow&v
Why do you need to surrender the dog?
Where did the dog originally come from?
FOPAS
Rescue/Shelter
Facebook posting
Craigslist posting
Breeder
Stray
Other
If the dog came from a rescue/shelter, have you contacted them to see if they will take the dog back?
Yes
No
If the dog came from another rescue/shelter, what is the name of the rescue/shelter?
If other, please describe:
If this is a FOPAS dog, please provide the microchip number and name when adopted:
Dog's age or DOB
Dog's breed or breed mix
Dog's approximate weight
Choose an option
arrow&v
Dog's sex
Choose an option
arrow&v
What vetting has been completed?
Rabies
Distemper/Parvo Combo
Lepto
Heartworm Test
Heartworm Prevention
Microchipped
No vetting
Is the dog good with:
Small dogs
Large dogs
Cats
Young children
Older children
Teenagers
Women
Men
Strangers
Please describe in detail any behavior issues you've had with the dog:
Please describe in detail any medical issues the dog may have
Submit
Thanks for submitting!