PLACE A DOG WITH US Fill the form and we will get in touch Placement Form Date *Dog's Name *Owner's First Name *Owner's Last Name *AddressCityStateZipEmail Address *Phone *Dog's InformationAge *Gender *GenderMaleFemaleAltered *alteredYesNoCurrent on Shots?YesNoMicrochippedYesNoWeightBreed *breedPurebredMixIf purebred: AKC Papers?YesNoIf mix: DescribeActivity LevelLowAverageHighObedience Trained?YesNoHousebrokenYesNoDescribe Medical HistoryDescribe Personality0 / 180If Aggressive: DescribeDescribe other troublesome behavior:Why are you placing this dog with us:Additional CommentsUpload dog picture(s) hereChoose FileNo file chosenDelete uploaded fileUpload medical records hereChoose FileNo file chosenDelete uploaded fileSubmit
