K9 Donation Form

Please fill out the form below to tell us about the dog or puppy you would like to donate.

First Name

Last Name

Home or Mobile Number

Email Address

Street Address

Postal Code

City

State

Are you able to transport dog to our campus? Choose a campus:

What breed is the dog?

DOB or Age

Gender

Spayed/Neutered?

What food (protein) is the dog currently eating?

Is the dog crate trained?

Is the dog up to date on medical treatments?

Please provide a picture of the dog.

Any additional information on the dog you think is important:

How friendly is the dog? (1=poor, 2=fair, 3=good, 4=very good, 5=great)

How outgoing is the dog? (1=poor, 2=fair, 3=good, 4=very good, 5=great)

How confident is the dog? (1=poor, 2=fair, 3=good, 4=very good, 5=great)

How reactive to new experiences is the dog? (1=poor, 2=fair, 3=good, 4=very good, 5=great)

Is the dog under 6 months old? If No, please skip the remaining questions and submit the form.

Has the puppy begun housebreaking?

For identification purposes please provide images of the puppies mother and father.

If known, what is the approximate weight of puppy’s mother?

If known, what is the approximate height of puppy’s mother?

If known, what is the approximate weight of puppy’s father?

If known, what is the approximate height of puppy’s father?

Have parents been health tested?

Any additional information on the puppy/litter and parents you think is important:

Every Dollar You Donate Helps Save A Life

Phone: 904-686-1956
Toll-Free: 1-888-819-0112
Fax: 904-686-1957