Mid-Atlantic German Shorthaired Pointer Rescue

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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?
Send Message

Thank you for contacting us. We will get back to you as soon as possible. In order to speed up the surrender process, please email a few pictures of your dog to mdgsprescue@hotmail.com.

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Mid-Atlantic German Shorthaired Pointer Rescue

mdgsprescue@yahoo.com