EmailMe Form

Date

MM / DD / YYYY

Your Name *

First Last

Dogs Name

***DOG MUST BE SPAYED/NEUTERED prior to listing. Please upload a spay/neuter certificate or a letter from your veterinarian stating the dog has been altered. * *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Confirm

### - ### - ####

Email *

Confirm

Where was this dog acquired from? (For example; Rescue or Shelter’s name, Breeder’s name, Family member, Friend, found as a stray, etc.) *

Primary Breed

Mixed?

Yes

No

If Yes second breed

Coat Color

Male or Female

Male

Female

General Age *

Baby

Young

Adult

Senior

General Adult Size *

Small

Medium

Large

Spay / Neutered? *

Yes

No

Current on vaccinations?

Yes

No

Housetrained? *

Yes

No

Special needs? *

Yes

No

If yes, please explain:

Home with kids? *

Yes

No

Unknown

Home with dogs? *

Yes

No

Unknown

Home with cats?

Yes

No

Unknown

Detailed Description *

Adoption Fee (Required) - Please note all dogs must have an adoption fee. Charging an adoption fee helps prevent people from taking animals and then abandoning them or worse.

Giving animals away "free to a good home" can lead to your pets being abused, tortured or killed.

Photos - please supply up to 4 photos *

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