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
 Indicates Response Required

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