Surrender Information

Is this dog a Bichon or Bichon Mix?  
Sex of dog:  
Has this dog been Spayed or Neutered?   
Your relationship to the dog?  
I give permission for SPR to contact my veterinarian and to get a copy of my dog's vet records. (Please enter your initials and date your yes answer.)  
A RECENT picture of your dog is needed before we can accept he/she into rescue. Please e-mail a picture immediately after submitting this form to