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Home
About
Services
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
Job Opportunities
Contact
Located in Pflugerville, TX •
(512) 799-6084
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K9 Surrender Form
K9 Surrender Form
Owner's Information
*Name:
*Address:
Address 2
*City:
*State
*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
Name:
Breed:
Gender:
Male
Female
Age:
Weight:
Is your pet spayed/neutered?
Yes
No
Is your pet micro-chipped?
No
Yes (Enter 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 pet urinate when approached?
Yes
No
Does your pet engage in self mutilation? (chewing on leg/licking raw spots, ect)
No
Yes, please explain
Has your pet ever bitten anyone?
No
Yes, please explain
Does your pet climb/jump/dig under/chew through fencing of any type?
No
Yes, please explain
Does your pet have anxiety? (separation, gender, storms, loud sounds, ect.)
No
Yes, please explain
Does your pet bark excessively?
No
Yes, in what situations
Does you pet chase cars, other animals, people ect.
No
Yes, please explain
Is your pet aggressive?
Yes
No
Does your pet get along with...
Cats
Other Dogs
Strangers
Children
Other
Has your pet ever killed or injured another animal?
No
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?
Is your pet currently on any medication?
No
Yes, please explain
Is your dog on heart worm preventative?
Yes
No
If yes (heartworm preventative), how long have they been on preventative?
Does your pet have any allergies? (medicines, insects, ect.)
No
Yes, please list
Dog Information - Training
Is your pet house training
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?
No
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
Please add a photo of your pet if you have one available.
Please add vet records if you have them avaliable.