Mid-Atlantic German Shorthaired Pointer Rescue

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Surrender Form

Surrender Form

Name
Address
City/State/Zip
Phone
Email Address
Vet Name & Number
Pet's Name
Gender
- Male
- Female
Is Dog Altered?
- yes
- no
Dog's age
Is dog microchipped?
- yes
- no
Where did you get your dog?
How long have you owned your dog?
House trained?
- yes
- no
Crate trained
- yes
- no
Where is your dog when you are away?
What dogfood does your dog eat?
On heartworm medication
- yes
- no
Date of recent vaccines? Physical problems?
Is dog good with other dogs
- yes
- no
Is dog good with children?
- yes
- no
Is dog good with cats?
- yes
- no
Height of fence your dog is okay in?
Is your dog efence trained?
- yes
- no
Is your dog a digger or jumper?
- digger
- jumper
Has your dog ever bitten a person or dog?
- yes
- no
Has your dog had any training, know any commands?
- yes
- no
Why are you surrendering your pet?
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Mid-Atlantic German Shorthaired Pointer Rescue

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