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About
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Dog Boarding
Fat Camp
Dog Grooming
Our Pack
Dachshund Puppies For Sale
Adoptions
Show Ring
Forms
Boarding Check-In
Grooming Check In
Boarding Contract
K9 Surrender Form
Dachshund Application
Our Facilites
Reviews
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Located in Pflugerville, TX •
(512) 799-6084
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K9 Surrender Form
K9 Owner Surrender Form
RM_Stats
Owner Information
Your First Name
*
Your Last Name
*
Address
*
City
*
State
*
Select an option
TX
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Phone Number
*
Email
*
Are you willing to make a contribution to help with veterinarian cost and daily care?
No
$25
$50
Other
Other Amount
Dog Information-General
Dog Name
Breed
Gender
Male
Female
Dog Age
Weight (lbs)
Is your pet spayed/neutered?
Yes
No
Is your pet micro-chipped?
Yes
No
Enter micro-chipped number (if known)
Dog-Information Behavioral
Does your pet respond to his/her name?
Yes
No
How does your pet act at the groomer?
How does your pet act at the vet?
Does your dog urinate when approached?
Yes
No
Does your dog engage in self-mutilation?(chewing on leg/licking raw spots, etc.)
Yes
No
If "Yes", please describe
Has your dog ever bitten anyone?
Yes
No
If "Yes", please describe
Does your dog climb/jump/chew through fencing of any type?
Yes
No
If "Yes", please describe
Does your pet have anxiety? (separation, gender, storms, loud sounds, etc.)
Yes
No
If "Yes", please describe
Does your pet bark excessively?
Yes
No
If "Yes", in what situations
Does you pet chase cars, other animals, people etc.
Yes
No
If "Yes", please explain
Is your pet aggressive?
Yes
No
Does your pet get along with...
Cats
Other Dogs
Strangers
Children
Other
If "Other", please explain
Has your pet ever killed or injured another animal?
Yes
No
If "Yes", please explain
Dog Information Medical
What vet do you use?
Is your pet up to date on vaccinations?
Yes
No
Does your pet have/had any known medical issues or injuries?
Yes
No
If "Yes", please explain
Is your pet currently on any medication?
Yes
No
If "Yes", please explain
Is your dog on heart worm preventative?
Yes
No
If yes, how long have they been on preventative?
Does your pet have any allergies? (medicines, insects, etc.)
Yes
No
If yes, please list
If yes, please list
Dog Information - Training
Is your dog house trained?
Yes
No
Is your pet crate trained?
Yes
No
Is your pet leash trained?
Yes
No
Has your pet had formal training?
Yes
No
Does your pet know any commands?
Yes
No
If yes, please list
Other Information
Why are you surrendering this dog?
How long have you had this dog?
Where did you get this dog?
Shelter
Family/Friends
Breeder
Other
If other, please describe...
Please add a photo of your pet if you have one available.
Please add vet records if you have them available.
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