Animal Surrender/Transfer Form
Thank you for entrusting your pet to us. To find the best foster and/or adoptive family for your dog, it is very important that you be as honest as possible. If not, it is likely that your dog will end up being placed in the wrong home and then surrendered again, maybe several times. This bouncing your dog will make your dog even less adoptable. Whether your dog ends up in a good home happens depends a lot on you. Please help us find a good home for your dog: tell us the good, the bad, and the ugly.
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How did you hear about Citizen Canine Senior Dog Rescue?
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First Name
Last Name
Address (include apartment # if relevant)
City
State
County
Zip Code
Home Telephone Number
Cell Telephone Number
Work Telephone Number
Best telephone number to reach you
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This form was created inside of Citizen Canine Senior Dog Rescue.