Pioneer Humane Society (PAWS) DOG Surrender/Intake Request
Pioneer Humane Society is a no-kill animal welfare shelter, which means we can not take in animals unless there is room at the shelter, in a foster home, or available space with a shelter partner.  Using this form helps us maintain an accurate and up to date list of animals and their owners that are in need of help.  The more information you can give us helps our response to you!  FILL OUT A REQUEST FOR EACH ANIMAL unless it is a litter of puppies.
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Today's Date *
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Your Name (first & last) *
Your Phone Number (you can enter multiple numbers if needed)
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Your COMPLETE address with City *
Your email address
Dog or Puppy? *
What is the reason this animal needs to be surrendered and indicate the urgency of the request. (Please don't indicate ASAP, we need a realistic time period to work with and we assume all requests are ASAP!) If this is URGENT please complete this form and also call the PAWS office - press zero for the manager to discuss. Tuesday thru Saturday, noon to 4 p.m.
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Is this a stray animal?  Refer to FAQ on our website
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Description - pet name, breed and color, gender, approximate weight, age, number in litter (for puppies), how long have you had this animal, etc.
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Check ALL boxes that apply to this animal
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Required
MEDICAL - Check ALL boxes that apply
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Required
Before you submit - MAKE SURE YOUR CONTACT INFORMATION IS CORRECT!  Add any other information you think we should have to this section.
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