Your Name

First Name

Last Name

Phone

(###)

###

####

Are you associated with a rescue organization?

Rescue Name & location (if applicable)

Description and Name of Dog (if known)

Please let us know what the dog looks like. See example below.

Sex

Location of Dog(s)

Please indicate name of shelter/pound (if applicable), plus town/city and state.

Posting Link

If available.

http://

Medical Issue / Condition of Dog(s)

Please provide as much information as possbile.

How did you hear about us?

Please complete the below form to let us know about a sick, injured, senior, pregnant or lactating hound that is in need of rescue or adoption.