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Surrender a Dog

Personal Information

Multi-line address

Dog Information

Date of birth (or best guess)
Year
Month
Day
Sex
Is your dog spayed/neutered?
Yes
No
Where did you get this dog?

Health & Diet

Is your dog up to date on vaccinations?
Yes
No

Please provide your veterinarians:

Training & Communication

Is your dog house trained?
Yes
No
Is your dog crate trained?
Yes
No
Has the dog shown any of the following behaviours? (select all that apply)

Living Situation & Routine

Final Details

Can you continue to care for the dog while we find a foster/adopter?
Yes
No
I certify that I am the legal owner of this dog and have the authority to surrender them to Last Litter.
Yes
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