Surrender Information
Let Us Help You to Keep Your Pet During Tough Financial Times!
Your Main Email Address (enter only one valid email address):
Enter alternate email addresses here:
Your First Name:
Your Last Name:
Your City and State?
Name of Bichon/BichonMix in need of rescue:
Is this dog a Bichon or Bichon Mix?
Yes
No/Other
Dog's age:
Sex of dog:
Male
Female
Has this dog been Spayed or Neutered?
No
Yes
Don't Know
Can you tell us why this dogs needs to be rehomed?
Your phone number and the best times to reach you?
Your relationship to the dog?
Owner
Relative of Owner
Friend of Owner
Found the dog
Other
Housetrained?
Has this dog ever bitten?
If yes, how many times?
Have you sought out help from your vet or behaviorist about this problem?
Is this Bichon good with children?
Vet's Name:
Vet's Phone Number
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.)
No
Yes
Tell us a little about this Bichon's health:
A 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
janetb@smallpawsrescue.org
. If you can't send a picture, we will need to call your vet to verify that your dog is a Bichon or a Bichon mix.
Yes I will send a picture
Call my vet at
I understand that after surrender, my Bichon may be flown via the commercial airlines to their new foster/adoptive home in another part of the country.
Initial and date:
Small Paws has 200 Bichons in rescue right now across the country and we are only accepting Bichons that are in danger of being euthanized.
Is this Bichon or Bichon Mix safe for the time being?
We are trying to save our resources for Bichons that are in danger of being euthanized or of being taken to a kill shelter.
Thank you for your understanding.
Robin Pressnall
Executive Director
Small Paws Rescue Inc.
Indicates Response Required
Powered by
FormSite.com