Alberta Dachshund Rescue Surrender Form
Please be as honest and detailed as possible. The more we know about your pet, the better able we will be able to find a loving and supportive home.
Email address *
Your first and last name: *
Your answer
Pet's Call name: *
Your answer
Pet's Full name: *
Your answer
Microchip info: (company and registration number) If your dog does not have a microchip, please indicate. *
Your answer
Microchip info: (company and registration number) If your dog does not have a microchip, please indicate. *
Your answer
Colour and coat: (long or short-hair) *
Your answer
Gender: *
Spayed or neutered: *
Any distinguishing markings: *
Your answer
Date of birth:
Your answer
Where did you get this dog from? If from a breeder, please specify which one. *
Your answer
Where did you get this dog from? If from a breeder, please specify which one.
Your answer
Current Owner’s Name(s): (include all co-owners) *
Your answer
Street address: *
Your answer
Town/city: *
Your answer
Province: *
Your answer
Postal code: *
Your answer
Home phone: *
Your answer
Cell:
Your answer
Why are you giving this dog up for adoption? *
Your answer
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