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First Name
*
Last Name
*
Cell Number
*
Home Number
*
Email
*
How long have you owned this dog for?
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Address (include city, province postal code) *
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Breed of dog?
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Age?
*
Why are you surrendering your dog? Please be specific!
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Dogs Gender
*
Female
Male
Is the dog spayed/neutered?
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YES
NO
Weight of dog?
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Has your dog been around children?
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Is the dog good with other animals? Cats?
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Crate trained and housebroken?
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Crate trained
Housebroken
Both
Has the dog bitten or shown aggression to a person? If so, please explain the situation(s)
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Good with other dogs?
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Yes
No
Health problems or concerns?
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Does the dog have its vaccines if so which ones?
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What is your dog's general temperament/behaviours?
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Where did you buy/adopt this dog from?
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Please upload ONE PHOTO of your dog.
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By submitting this you are agreeing that you want to surrender your dog to HANNAS HAVEN ANIMAL RESCUE. You acknowledge that this dog will be put up for adoption at Hannas Haven and given a new home.
*
YES
NO
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