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Battle for the Bully Surrender Form
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Email
*
Your email
MM
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DD
/
YYYY
Please be completely honest in all answers. This information helps us determine which foster home is equipped to foster the dog being surrendered. We would like to make the transition process as seamless as possible.
πππππππππ π ππππ ππππ πππ πππππππππ πππππππ ππππππππ ππππ πππ ππ πππππππππ. ππππππππ πππ ππ ππππ ππ ππππππππππππππππ@πππππ.πππ
AGREED
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Name (First/Last)
*
Your answer
Address
*
Your answer
City, State, Zip Code
*
Your answer
Contact Phone Number
*
Your answer
Dog Name
*
Your answer
Dog's Gender
Male
Female
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Dogs Age
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Why is this dog being surrendered?
*
Your answer
Is the dog Microchipped?
Yes
No
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If yes, please provide company and registry company:
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Veterinarian Name:
Your answer
Veterinarian contact number:
Your answer
ππππππ πππππππ ππππ πππ πππ πππππππ πππππππππππ π ππ ππ ππ ππππππ πππππππ ππ ππ πππππππ ππππ ππππππ
Is the dog Spayed or Neutered?
Yes
No
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Is the dog up to date on vaccinations?
Yes
No
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Has this dog been tested for Heartworms?
Yes
No
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Does this dog have Heartworms?
Yes
No
Unknown
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Are you able to provide medical records?
Yes
No
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Is this dog up to date on flea/HW preventatives? If so, when and what type was given?
Your answer
Has this dog been dewormed?
Yes
No
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What food is the dog currently eating? How many cups?
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Has this dog ever bitten anyone?
Yes
No
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If yes, please provide details:
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Is the dog house trained?
Yes
No
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Is the dog crate trained?
Yes
No
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Is the dog good with children?
Yes
No
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Is the dog good with other pets?
Yes
No
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Has the dog had basic obedience training?
Yes
No
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What other information should we know about the dog being surrendered?
Your answer
πππππππππ: Please email pictures to
lovingthebullies@gmail.com
Β to finalize form. If pictures are not received, the form π°π’π₯π₯ π§π¨π ππ π©π«π¨πππ¬π¬ππ.
Agreed
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I promise that the information I am giving is accurate, and that Battle for the Bully will not be held liable or chargeable for any false information or misrepresentations that may have been submitted on this form.
I agree
I disagree
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A copy of your responses will be emailed to the address you provided.
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