NAME:_________________________________________ PHONE:_____________________


BREED:_____________________ AGE:____ COLOR:________ SEX: M/F  ALTERED: Y/N

List all available information on this dog to give to the new home. If the dog has been though several hand's since he came to Rescue, list them all and their observations. If the dog is an owner turn in, give the new home a copy of the intake information. If the dog was in a foster home, list observations from the foster home. State that this is correct to the best of your knowledge and that Rescue cannot be held liable for the behavior of the dog.