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?  
Does this dog get along well with other dogs?  
Is it necessary for this dog to be placed as an only 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 him/her into rescue. Please e-mail a picture immediately after submitting this form to  
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